Tiffany Vienneau, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1068-124 Issued in WI

Practice address

135 W Main St
Stoughton, WI 53589-2100

Phone

(608) 873-7838

NPI assigned

Oct 26, 2016

Last updated

Oct 26, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Group practices

Velvaere Mental Health Clinic, LLCGroup PAC ID 1456893403, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Velvaere Mental Health Clinic, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stoughton, WI
  • NPI 1770346702

  Marriage & Family Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1073065041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 FORTON ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891604",
            "telephone_number": "608-445-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W MAIN ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535892100",
            "telephone_number": "608-873-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIENNEAU",
        "first_name": "TIFFANY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1068-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Wisconsin Medical Foundation Inc
• Lisa Marie Van Roy, REGISTERED NURSE
• Velocty LLC
• Velvaere Mental Health Clinic, LLC
• Michael Vienneau, LCSW
• Jeannie M Voegele, PTA
• Vop Stoughton LLC (Dimensions Living Stoughton)
• Wal-Mart Stores East, LP (Walmart Vision Center 30-1176)
• Walgreen Co (Walgreens #07519)
• Jamie Lyn Wallace

• Marriage & Family Therapist in Stoughton, WI
• Providers in Stoughton, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.