TIFFANY JEFFERS – Mental Health Counselor, NPI 1073006813

TIFFANY JEFFERS is a healthcare provider. based in Clinton twp, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 6401224717 (MI). The NPI Number for TIFFANY JEFFERS is 1073006813

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY JEFFERS
NPI
1073006813
Phone
(586) 213-5505
Address
16645 15 MILE RD
Enumeration Date
6 June 2018
Last Update Date
16 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
6103355581
Group Practice PAC ID
3173988128
Professional Enrollment ID
I20250130000727
Address ID
MI480352206Cl16645RDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

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Provider Addresses for TIFFANY JEFFERS

  • 16645 15 MILE RD

    CLINTON TWP, MI 480352206

    Phone: (586) 213-5505

    Type: Mailing

  • Telegraph Road, Bingham Farms, Southfield Township, Oakland County, Michigan, 48301, United States

    BINGHAM FARMS, MI 480252454

    Phone: (248) 712-4266

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250130000727IMental Health CounselorMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48035)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173988128View full group profile
NameSpecialtyState
Mental Health CounselorMI
Mental Health CounselorMI
Clinical Social WorkerMI
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI
Clinical Social WorkerMI
Mental Health CounselorMI

Reviews

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Frequently asked questions

Can I verify TIFFANY JEFFERS with an NPI only?
You can start verification with NPI 1073006813 for TIFFANY JEFFERS, then check state licensing separately.
Does CMS list TIFFANY JEFFERS as active?
Yes — TIFFANY JEFFERS is active in the NPI listing used on this page.
What is TIFFANY JEFFERS's primary classification?
Mental Health Counselor is the headline specialty for TIFFANY JEFFERS here. Clinical services aligned with this taxonomy classification.
What address line appears for TIFFANY JEFFERS?
TIFFANY JEFFERS's geographic hint is Clinton Twp, Michigan in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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