Tiffany Gwen Rich, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401011940 Issued in MI

Practice address

217 E Sanilac Rd
Sandusky, MI 48471-1383

Phone

(810) 648-0330

Fax

(810) 648-0315

NPI assigned

Mar 6, 2012

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

Medicare fee-for-service enrollment

Enrolled in MI

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

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanilac County Community Mental Health AuthorityGroup PAC ID 0749252062, 19 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 and National Provider Directory roles.

• Sanilac County Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Sandusky, MI
  • NPI 1306854880
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1508130782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 W MILLS ST",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711227",
            "telephone_number": "810-583-0329",
            "fax_number": "810-648-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E SANILAC RD",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711383",
            "telephone_number": "810-648-0330",
            "fax_number": "810-648-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "TIFFANY",
        "middle_name": "GWEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Redman
• Courtney Michelle Reid
• Angela Reinelt
• Jamie Reinke
• Gabriel Rheaume
• Magdolna Richards, LMSW, CACII
• Alicia Richardson
• Rite Aid of Michigan Inc
• Tonia Rock
• Camilla F. Roff, R.N.

• Professional Counselor in Sandusky, MI
• Providers in Sandusky, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.