Individual provider Active NPI

Tiffany Hutchison, MA, LPC, CADC

  • Mental Health Counselor
  • Gresham, OR
National Provider Identifier
1720451578
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C5610 Issued in OR
Practice address
320 N Main Ave Ste 216
Gresham, OR 97030-7242
Phone
(971) 341-2037
NPI assigned
Nov 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C5610 OR Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1720451578 OR

Addresses

Primary practice location

320 N Main Ave Ste 216
Gresham, OR 97030-7242

Mailing address

320 N Main Ave Ste 216
Gresham, OR 97030-7242
Phone (971) 341-2037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240118003096 OR Practitioner - Mental Health Counselor 9133571771 Practice locations: Gresham, OR

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

320 N Main Ave
Suite 216
Gresham, OR 97030-7242
Phone (971) 341-2037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1720451578ORMDAddiction (Substance Use Disorder) Counselor
C5610ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carol Nightengale P C PastSince May 29, 2022 Accepting new patients

Organizations & group practices 1

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": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1720451578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N MAIN AVE STE 216",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307242",
            "telephone_number": "971-341-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N MAIN AVE STE 216",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307242",
            "telephone_number": "971-341-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5610",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "1720451578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.