TIFFANY CORBETT LCMHC, LCAS
NPI 1942738968
Counselor - Mental Health in Mooresville, NC

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since June 03, 2017PECOS EnrolledAccepts Medicare Assignment

122 GATEWAY BLVD STE C, MOORESVILLE, NC 28117(704) 360-3637(704) 200-9829 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 14, 2023, Nov 28, 2022, Jun 3, 2017 (3 updates tracked since 2017).

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About Tiffany Corbett Lcmhc, Lcas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY CORBETT LCMHC, LCAS (NPI 1942738968) is an individual mental health provider in Mooresville, North Carolina, licensed in North Carolina (13490) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1942738968

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameTIFFANY CORBETTCredential: LCMHC, LCAS

Location Address122 GATEWAY BLVD STE CMooresville, NC 28117-5544

Mailing Address122 Gateway Blvd Ste CMooresville, NC 28117-5544 · (704) 360-3637 · Fax (704) 200-9829

Phone(704) 360-3637

Fax(704) 200-9829

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 3, 2017

Last NPPES UpdateDecember 14, 20233 updates tracked since enumeration

NPPES CertifiedDecember 14, 2023

✔ NPI 1942738968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · 13490

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-23473 (NC)

122 GATEWAY BLVD STE C, Mooresville, NC 28117

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Secondary Practice Locations 2

Location 1211 E Six Forks Rd Ste 117Raleigh, NC 27609-7753 · Phone (919) 808-8838

Location 22000 Regency Pkwy Ste 255Cary, NC 27518-8511 · Phone (704) 360-3637 · Fax (704) 200-9829

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tiffany Corbett Lcmhc, Lcas is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618328097

PECOS Enrollment IDI20240110002141

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

CAITLIN JOY SCARCELLA

Counselor (Mental Health)