Individual provider Active NPI

Tiffany K Olerich

  • Mental Health Counselor
  • Knoxville, IA
National Provider Identifier
1093412934
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
117475 Issued in IA
Practice address
121 S 3Rd St
Knoxville, IA 50138-2506
Phone
(641) 658-9311
Fax
(641) 658-9105
NPI assigned
Feb 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 117475 IA Primary

Addresses

Primary practice location

121 S 3Rd St
Knoxville, IA 50138-2506

Mailing address

408 E 15TH St Apt 105
Pella, IA 50219-9650
Phone (712) 790-9453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20260126000482 IA Practitioner - Mental Health Counselor 8628555273

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

301 W Burlington Ave
Fairfield, IA 52556-3242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117475IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optimae Lifeservices, Inc, CurrentSince Jan 8, 2026 Accepting new patients
Eunoia Counseling CurrentSince May 16, 2026 Accepting new patients
Nurse in the House, Inc. Past Accepting new patients

Locations

301 W Burlington Ave
Fairfield, IA 52556
Phone (641) 472-1684

2201 W Jefferson Ave
Fairfield, IA 52556
Phone (641) 472-1684

121 S 3rd St
Knoxville, IA 50138
Phone (641) 658-9311

204 E Robinson St
Knoxville, IA 50138
Phone (641) 205-8501

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1093412934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E 15TH ST APT 105",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502199650",
            "telephone_number": "712-790-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S 3RD ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501382506",
            "telephone_number": "641-658-9311",
            "fax_number": "641-658-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLERICH",
        "first_name": "TIFFANY",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "117475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, IA

Sources for this page

Verify at the official NPI Registry.