Individual provider Active NPI

Tiffany Kirstin Happ, LCSW

  • Clinical Social Worker
  • Redding, CA
National Provider Identifier
1700119609
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
77298 Issued in CA
Practice address
1805 Hilltop Dr Ste 102
Redding, CA 96002-0279
Phone
(530) 262-1560
NPI assigned
Sep 9, 2009
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 03-088294 CA
Clinical Social Worker 1041C0700X 77298 CA Primary

Addresses

Primary practice location

1805 Hilltop Dr Ste 102
Redding, CA 96002-0279

Mailing address

1805 Hilltop Dr Ste 102
Redding, CA 96002-0279
Phone (530) 262-1560

Other names 1

  • Tiffany Kirstin Kernutt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200424000346 CA Practitioner - Clinical Social Worker 6709216294 Reassigns benefits to 2 organizations
Practice locations: Redding, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1805 Hilltop Dr
Suite 102
Redding, CA 96002-0249

1805 Hilltop Dr
Suite 102
Redding, CA 96002-0279
Phone (530) 710-8551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03-088294CAMDAddiction (Substance Use Disorder) Counselor
77298CAMDPharmacist
72298CAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Happ E Life Therapy Clinical CurrentSince Aug 11, 2024 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince May 26, 2023 Accepting new patients
Shasta Orthopedics & Sports Medicine a Medical Corporation CurrentSince Feb 4, 2020 Accepting new patients
Apogee Outpatient Surgery Center Past Accepting new patients

Locations

1255 Liberty St
Redding, CA 96001
Phone (530) 224-2226

1805 Hilltop Dr
Ste 102
Redding, CA 96002
Phone (530) 262-1560

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 4

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": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1700119609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 HILLTOP DR STE 102",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020279",
            "telephone_number": "530-262-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 HILLTOP DR STE 102",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020279",
            "telephone_number": "530-262-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAPP",
        "first_name": "TIFFANY",
        "middle_name": "KIRSTIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "03-088294",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "77298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "KERNUTT",
            "middle_name": "KIRSTIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.