Tiffany Repsher, LMT
Individual provider Active NPI Mental Health Counselor · Montrose, PA
NPI 1083077853 · NPPES record last updated Aug 19, 2026
Key facts
- NPI
- 1083077853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 200 Lake Ave
Montrose, PA 18801-1452 - Phone
- (305) 753-9558
- NPI assigned
- Mar 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSG001858 | PA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | PA | Yes | |
| Massage Therapist | 225700000X | MSG001858 | PA |
Addresses
Primary practice location
200 Lake Ave
Montrose, PA 18801-1452
Mailing address
9562 Route 467
Le Raysville, PA 18829-7890
Phone (305) 753-9558
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All providers in Montrose, PA · Mental Health Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.