Tierra Ruffin , CASE MANAGER
Counselor β’ Seattle, WA
909 4th Ave
Seattle, WA 981041108
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
909 4th Ave
Seattle, WA 981041108
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Counselor: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2021
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, CMS release of October 2, 2026; Medicare.gov, βDoes your provider accept Medicare as full payment?β
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, CMS release of October 2, 2026.
Compared with the same specialty in Seattle and Washington
2,288 active clinicians are listed under Counselor with a practice address in Seattle, WA (11,473 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Seattle
0.2% of these 2,288 clinicians have the CMS telehealth indicator.
0.6% of these 2,288 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, 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: 2026-04-23NUCC 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.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 909 4TH AVE, SEATTLE, WA 981041108 (Tel: 2068873782)
Registered at 827 W VALLEY HWY TRLR 65, KENT, WA 980322953 (Tel: 8502070980)
Recorded as TIERRA RUFFIN, CASE MANAGER
Counselor (license number reported to NPPES: WA CAAR.CG.70116791)
NPI status registered as active in NPPES database
Registered at 9930 EVERGREEN WAY STE Z150, EVERETT, WA 982043889 (Tel: 4253475121)
Registered at 15723 40TH AVE W APT E201, LYNNWOOD, WA 980871463 (Tel: 8502070980)
Recorded as TIERRA RUFFIN, SUDPT
Student in an Organized Health Care Education/Training Program (license number reported to NPPES: WA CO61212506)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
827 W Valley Hwy Trlr 65
Kent, WA 980322953
Phone: 8502070980