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Tiffany Thomas

Peer Specialist β€’ Pendleton, OR

Active NPI 1639612393 Individual Practitioner Female Practitioner
Practice location in NPPES

17 Sw Frazer Ave Ste 282
Pendleton, OR 978010048

Call 5412786330 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

17 Sw Frazer Ave Ste 282

Pendleton, OR 978010048

Telephone 5412786330
Fax 5412785419
Organization at the Same NPPES Address or Phone
Umatilla County Alcohol & Drug Program Facility NPI 1629127584

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pendleton and Oregon

81 active clinicians are listed under Peer Specialist with a practice address in Pendleton, OR (3,355 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pendleton

0% of these 81 clinicians have the CMS telehealth indicator.

0% of these 81 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-05-21
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location February 11, 2019

Registered at 17 SW FRAZER AVE STE 282, PENDLETON, OR 978010048 (Tel: 5412786330)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2019

Counselor

βœ…
NPI Profile Active November 29, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 29, 2016

Registered at 595 NW 11TH ST, HERMISTON, OR 978386600 (Tel: 5415672536)

πŸ“
Business Mailing Address (Initial Record) November 29, 2016

Registered at 702 SUNSET DR, ONTARIO, OR 979143121

πŸ‘€
Provider Name / Credentials (Initial Record) November 29, 2016

Recorded as TIFFANY THOMAS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2016

Counselor

🟒
Initial NPI Registration & Enumeration November 29, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639612393
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2016
Last Update: May 21, 2020
Sole Proprietor: Yes

Mailing Address

702 Sunset Dr

Ontario, OR 979143121

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.