TIFFANY VIENNEAU (LMFT) – Marriage & Family Therapist, NPI 1073065041

TIFFANY VIENNEAU (LMFT) is a healthcare provider. based in Stoughton, Wisconsin. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials LMFT. They hold a License No. 1068-124 (WI). The NPI Number for TIFFANY VIENNEAU (LMFT) is 1073065041

Main info

Female
Sole Proprietor
23 Years Of Experience
Name
TIFFANY VIENNEAU (LMFT)
NPI
1073065041
Phone
(608) 445-0672
Address
148 FORTON ST
Enumeration Date
26 October 2016
Last Update Date
26 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6082058308
Graduation Year
2003 (23 years ago)
PAC ID
4183166135
Group Practice PAC ID
1456893403
Professional Enrollment ID
I20250625002067
Address ID
WI535895501ST100XXCIRX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

243 MARRIAGE AND FAMILY THERAPIST in WI

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Provider Addresses for TIFFANY VIENNEAU (LMFT)

  • 148, Forton Street, Stoughton, Dane County, Wisconsin, 53589, United States

    STOUGHTON, WI 535891604

    Phone: (608) 445-0672

    Type: Mailing

  • 135, West Main Street, Stoughton, Dane County, Wisconsin, 53589, United States

    STOUGHTON, WI 535892100

    Phone: (608) 873-7838

    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: 2025-06-25

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
I20250625002067IMarriage And Family TherapistWITBD

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 53589)

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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: 1456893403View full group profile
NameSpecialtyState
Mental Health CounselorWI
Clinical Social WorkerWI

Reviews

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Frequently asked questions

What number should I use to identify TIFFANY VIENNEAU (LMFT) for billing?
Administrative and clinical systems typically use NPI 1073065041 for TIFFANY VIENNEAU (LMFT).
Does the public listing show TIFFANY VIENNEAU (LMFT) as active?
TIFFANY VIENNEAU (LMFT)'s NPI record reflects an active status in NPPES.
What does the directory say TIFFANY VIENNEAU (LMFT) does?
Insurance directories may phrase it differently, but here TIFFANY VIENNEAU (LMFT) maps to Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TIFFANY VIENNEAU (LMFT)?
TIFFANY VIENNEAU (LMFT) is associated with Stoughton, Wisconsin in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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