Tiffany Eve Fass

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1880 N Broad St
Fuquay Varina, NC 27526-3657

Phone

(919) 557-8222

Fax

(919) 557-8223

NPI assigned

Jun 29, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Southern Wake Counseling Center

  • Mental Health Counselor
  • Fuquay Varina, NC
  • NPI 1356596720
  NPD (past)

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1720904014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 TEASER DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275264630",
            "telephone_number": "919-986-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 N BROAD ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275263657",
            "telephone_number": "919-557-8222",
            "fax_number": "919-557-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASS",
        "first_name": "TIFFANY",
        "middle_name": "EVE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evans Walston Home LLC
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• Shannon C Fahy, MSW LCSW LICSW
• Family Optical LLC
• Samantha May Faust, BSN, RN, IBCLC
• Elisabeth Feeley, MS CCC-SLP
• Shanda Nicole Felton, PA
• Clare Louise Fentress, OTR/L
• Mark Allen Ferguson, PT

• Counselor in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.