Individual provider Active NPI

Tiffany Latissha Valentine

  • Professional Counselor
  • Southfield, MI
National Provider Identifier
1679325344
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401225674 Issued in MI
Practice address
21701 W 11 Mile Rd Ste 11
Southfield, MI 48076-3713
Phone
(586) 229-1595
NPI assigned
Apr 4, 2024
Last updated
Aug 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401225674 MI Primary

Addresses

Primary practice location

21701 W 11 Mile Rd Ste 11
Southfield, MI 48076-3713

Mailing address

21701 W 11 Mile Rd Ste 11
Southfield, MI 48076-3713
Phone (313) 815-5955

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260224001098 MI Practitioner - Mental Health Counselor 5294216743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17515 W 9 Mile Rd
Suite 755
Soutfield, MI 48075-4422

4000 W Mill St
Georgiana, AL 36033-4725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401225674MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transition Family Services LLC Professional CurrentSince Jan 3, 2026 Accepting new patients
Healing and Empowering Minds Mental Health Current Accepting new patients

Locations

17515 W 9 Mile Rd
Ste 755
Southfield, MI 48075
Phone (248) 499-4312

21701 W 11 Mile Rd
Ste 11
Southfield, MI 48076
Phone (313) 969-7292

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1679325344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21701 W 11 MILE RD STE 11",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763713",
            "telephone_number": "313-815-5955",
            "fax_number": "586-697-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21701 W 11 MILE RD STE 11",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763713",
            "telephone_number": "586-229-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "TIFFANY",
        "middle_name": "LATISSHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401225674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.