MRS. MALLORY TIFFANY LMHC, LPC
NPI 1982251633
Counselor - Mental Health in St Petersburg, FL

Active since August 19, 2019PECOS Enrolled
7901 4TH ST N # 12833, ST PETERSBURG, FL 33702(813) 658-8985 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2026, Apr 14, 2026, Apr 3, 2026 and 8 more (11 updates tracked since 2019).

About Mrs. Mallory Tiffany Lmhc, Lpc NPPES

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

MRS. MALLORY TIFFANY LMHC, LPC (NPI 1982251633) is an individual mental health provider in St Petersburg, Florida, licensed in Florida (MH20318) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1982251633
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. MALLORY TIFFANYCredential: LMHC, LPC
Location Address7901 4TH ST N # 12833St Petersburg, FL 33702-4305
Mailing Address7901 4th St N # 12833St Petersburg, FL 33702-4305 · (813) 658-8985
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 19, 2019
Last NPPES UpdateMay 6, 202611 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
NPI 1982251633 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 FL · MH20318
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 2023030592 (MO)
7901 4TH ST N # 12833, St Petersburg, FL 33702

Other Names 1

Former Name (1)Mallory Diaz Lmhc, Lpc

Other Identifiers 2

Medicaid830128243MO
Medicaid117516600FL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Mallory Tiffany Lmhc, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052887528
PECOS Enrollment IDI20260421003589, I20260526002980
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.

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 Mallory Tiffany's NPI number?

The NPI number for Mallory Tiffany is 1982251633. It was assigned to this individual provider in the NPPES registry on August 19, 2019. The provider is also known as Mallory Diaz Lmhc, Lpc.

Where is Mallory Tiffany located?

Mallory Tiffany practices at 7901 4th St N # 12833, St Petersburg, FL 33702. The listed phone number is (813) 658-8985.

What is Mallory Tiffany's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mallory Tiffany enrolled in Medicare?

Yes. Mallory Tiffany is registered in the Medicare PECOS enrollment system.

What insurance does Mallory Tiffany accept?

Health plans from Molina Healthcare and Providence Health Plan list Mallory Tiffany 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 Mallory Tiffany was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.