Individual provider Active NPI

Tiffini Treaster, LLPC

  • Mental Health Counselor
  • Livonia, MI
National Provider Identifier
1952092652
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6451022848 Issued in MI
Practice address
15370 Levan Rd Ste 2a
Livonia, MI 48154-1903
Phone
(734) 953-9100
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6451022848 MI Primary

Addresses

Primary practice location

15370 Levan Rd Ste 2a
Livonia, MI 48154-1903

Mailing address

15370 Levan Rd Ste 2a
Livonia, MI 48154-1903
Phone (734) 737-1266

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
I20260528001427 MI Practitioner - Mental Health Counselor 7719457027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Behavioral Medicine PLLCGroup PAC ID 8325069305, 24 clinicians

Practice addresses (Care Compare)

2525 Crooks Rd
Suite 100
Troy, MI 48084-4733
Phone (248) 731-7305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6451022848MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Behavioral Medicine PLLC PastSince May 21, 2023 Accepting new patients
Michigan Behavioral Medicine PastSince May 21, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1952092652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15370 LEVAN RD STE 2A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541903",
            "telephone_number": "734-737-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15370 LEVAN RD STE 2A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541903",
            "telephone_number": "734-953-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREASTER",
        "first_name": "TIFFINI",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451022848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.