Tiffany Irene Pesch, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT97511 Issued in CA

Practice address

26010 Acero
Mission Viejo, CA 92691-2799

Phone

(949) 353-5018

Fax

(949) 356-6443

NPI assigned

Aug 2, 2018

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

Other names 1

• Tiffany Irene Pesch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 20, 2024 through Jan 20, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1356829253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26010 ACERO",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912799",
            "telephone_number": "949-353-5018",
            "fax_number": "949-356-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26010 ACERO",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912799",
            "telephone_number": "949-353-5018",
            "fax_number": "949-356-6443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26101 Acero",
            "address_purpose": "LOCATION",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92672",
            "country_code": "US",
            "telephone_number": "949-353-5018",
            "fax_number": "949-356-6443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PESCH",
        "first_name": "TIFFANY",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT97511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "PESCH",
            "middle_name": "IRENE",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jarvis Maleek Perkins
• Sharone Perlman, NP
• Zachary James Perry
• Heather Susan Persons, AMFT
• Julia Junn Persons, DNP, FNP-C
• Kayla Peterman
• Celeste Lee Peters, MFT
• Deeann Peterson, LMFT
• John Peterson
• Barbara Irene Petty, M.D.

• Marriage & Family Therapist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.