Tiffany Jackson
NPI 1164950630 · Mental Health Counselor · Lutz, FL
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tiffany Jackson is a Mental Health Counselor provider in Lutz, FL (NPI 1164950630).
Provider details
- NPI number
- 1164950630
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- MH16981 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-05-30
- Last updated
- 2019-12-09
- Certified
- 2019-12-09
Frequently asked questions
- What is Tiffany Jackson's NPI number?
- Tiffany Jackson's National Provider Identifier (NPI) is 1164950630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tiffany Jackson's specialty?
- Tiffany Jackson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Tiffany Jackson located?
- Tiffany Jackson's practice location on file with NPPES is 21808 State Road 54, Lutz, FL 33549-6923.
- What is Tiffany Jackson's phone number?
- The practice phone number listed in the NPPES registry for Tiffany Jackson is (813) 428-6100.
- Does Tiffany Jackson accept Medicare?
- Tiffany Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tiffany Jackson's NPI active?
- Yes — Tiffany Jackson's NPI (1164950630) is active in the NPPES registry as of the last update on 2019-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.