Individual provider Active NPI

Tiffany Huntsman

  • Marriage & Family Therapist
  • Springville, UT
National Provider Identifier
1265979074
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1220 N Main St Ste 1
Springville, UT 84663-4014
Phone
(385) 449-0309
NPI assigned
Jan 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

1220 N Main St Ste 1
Springville, UT 84663-4014

Mailing address

315 E 8800 S
Spanish Fork, UT 84660-9798

Other practice location 1

3585 N University Ave
Provo, UT 84604-6601
Phone (801) 797-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, OH, ID3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250924002269 UT Practitioner - Mental Health Counselor 6709381411 Reassigns benefits to 2 organizations
I20260424003025 OH Practitioner - Mental Health Counselor 6709381411 Reassigns benefits to 1 organization
I20260430001289 ID Practitioner - Mental Health Counselor 6709381411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

15419 S Eagle Crest Dr
Draper, UT 84020-5708
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Professional CurrentSince Sep 9, 2025 Accepting new patients
Brigham Young University Past Accepting new patients

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": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1265979074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E 8800 S",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846609798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N MAIN ST STE 1",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846634014",
            "telephone_number": "385-449-0309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3585 N University Ave",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846046601",
            "country_code": "US",
            "telephone_number": "801-797-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTSMAN",
        "first_name": "TIFFANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, UT

Sources for this page

Verify at the official NPI Registry.