Tiffany Ann Mullin I, CP60969079

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP60969079 Issued in WA

Practice address

222 W Mission Ave
Spokane, WA 99201-2344

Phone

(509) 474-1148

Fax

(833) 899-5113

NPI assigned

Mar 28, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Axium Recovery Services

  • Recovery Care Clinic/Center
  • Spokane, WA
  • NPI 1154970010
  NPD
• New Horizon Care Centers, Inc.

  • Community/Behavioral Health Agency
  • Spokane Valley, WA
  • NPI 1518186600
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1073045241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W MISSION AVE STE 106",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012347",
            "telephone_number": "509-474-1148",
            "fax_number": "833-899-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W MISSION AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012344",
            "telephone_number": "509-474-1148",
            "fax_number": "833-899-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "CP60969079",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60969079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Mullavey, ARNP
• Barbara Clare Mullen, L.AC
• Jennifer Mullen
• Ashley Mullenbach, OTR/L
• Ashley Mullenix
• Alicia Marie Mullinex, MA
• Rachel Noel Mullins
• Alessandra M Mulroy, MSW, LICSWA
• Multicare Health System
• Multicare Health System

• Addiction (Substance Use Disorder) Counselor in Spokane, WA
• Providers in Spokane, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.