MRS. TIFFANY SIMONE FAGAN LMHC, BCBA
NPI 1912572660
Counselor - Mental Health in Indianapolis, IN
About Mrs. Tiffany Simone Fagan Lmhc, Bcba NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TIFFANY SIMONE FAGAN LMHC, BCBA (NPI 1912572660) is an individual mental health provider in Indianapolis, Indiana, licensed in Indiana (39003186A) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Tiffany Simone Fagan Lmhc, Bcba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tiffany Fagan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 564 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tiffany Fagan's NPI number?
The NPI number for Tiffany Fagan is 1912572660. It was assigned to this individual provider in the NPPES registry on May 25, 2021. The provider is also known as Ms. Tiffany Simone Ramberg.
Where is Tiffany Fagan located?
Tiffany Fagan practices at 720 Eskenazi Ave, Indianapolis, IN 46202. The listed phone number is (317) 880-0000.
What is Tiffany Fagan's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Tiffany Fagan enrolled in Medicare?
Yes. Tiffany Fagan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tiffany Fagan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Fagan reassigns Medicare benefits to The Health And Hospital Corporation Of Marion County (Indianapolis, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiffany Fagan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tiffany Fagan accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Tiffany Fagan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tiffany Fagan was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Tiffany Simone Fagan, LMHC, BCBA · NPI 1912572660
Mental Health provider in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since May 25, 2021.
## Identity
- **NPI:** 1912572660 (Entity type: Individual)
- **Enumerated:** May 25, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 39003186A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 720 ESKENAZI AVE, Indianapolis, IN 46202-5187
- **Phone:** (317) 880-0000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** The Health And Hospital Corporation Of Marion County (NPI 1104027879, Indianapolis, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1912572660) · Data from the CMS NPPES public registry.