TINA M GRIFFITH – Professional Counselor, NPI 1063072585

TINA M GRIFFITH is a healthcare provider. based in Oshkosh, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 7209 (WI). The NPI Number for TINA M GRIFFITH is 1063072585

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
TINA M GRIFFITH
NPI
1063072585
Phone
(920) 720-2300
Address
600 N Westhaven Dr
Enumeration Date
17 June 2019
Last Update Date
11 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
3779971106
Group Practice PAC ID
8123458981
Professional Enrollment ID
I20260223000685
Address ID
FL331361104MI1951XAVEX411
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for TINA M GRIFFITH

  • 600 N Westhaven Dr

    Oshkosh, WI 549046926

    Phone: (920) 720-2300

    Fax: (920) 237-5616

    Type: Location

  • 122, East College Avenue, Appleton, Outagamie County, Wisconsin, 54911, United States

    APPLETON, WI 549115794

    Phone: (920) 996-3264

    Fax: (920) 830-5910

    Type: Mailing

  • Wisconsin Institute of Urology, 600, North Westhaven Drive, Oshkosh, Winnebago County, Wisconsin, 54904, United States

    OSHKOSH, WI 549046926

    Phone: (920) 720-2300

    Fax: (920) 237-5616

    Type: Location

  • PO BOX 365

    ONEIDA, WI 541550365

    Phone: (920) 490-3790

    Type: Mailing

  • 2640 W POINT RD

    GREEN BAY, WI 543041344

    Phone: (920) 490-3790

    Type: Location

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: 2026-02-23

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
I20260223000685IMental Health CounselorFLTBD

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 54904)

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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: 8123458981View full group profile
NameSpecialtyState
Mental Health CounselorFL
Mental Health CounselorFL
Certified Nurse Midwife (Cnm)FL
Clinical Social WorkerFL
Nurse PractitionerFL
Mental Health CounselorFL
Clinical Social WorkerFL
Clinical Social WorkerFL
Mental Health CounselorFL
Nurse PractitionerGA

Reviews

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Frequently asked questions

What NPI should I save for TINA M GRIFFITH?
Save NPI 1063072585 if you need a stable reference for TINA M GRIFFITH.
Is TINA M GRIFFITH active in the national directory?
TINA M GRIFFITH's public NPI profile is in an active state.
Does TINA M GRIFFITH list a primary specialty?
If you are matching referrals, note Professional Counselor for TINA M GRIFFITH. Clinical services aligned with this taxonomy classification.
Where is TINA M GRIFFITH's primary listing?
We display Oshkosh, Wisconsin because that is what the record indicates for TINA M GRIFFITH.
Is TINA M GRIFFITH a real provider?
This page reflects official NPPES data for NPI 1063072585. Always confirm identity and privileges with the practice and licensing boards.

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