Tiffany Marie Willingham, SUDRC is a
Peer Specialist based in Costa Mesa, California. Tiffany Marie Willingham is licensed to practice in California (license number 18573) and her current practice location is
671 Governor St, Costa Mesa, California. She can be reached at her office (for appointments etc.) via phone at
(949) 343-6565.
NPI number for Tiffany Marie Willingham is 1699507814 and her current mailing address is 14400 Newport Ave Apt 91, Tustin, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699507814.
Healthcare Provider's Profile
| Full Name | Tiffany Marie Willingham |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 671 Governor St, Costa Mesa, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699507814
- Provider Enumeration Date: 08/16/2024
- Last Update Date: 12/16/2025
Medical Identifiers
Medical identifiers for Tiffany Marie Willingham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699507814 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | 18573 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tiffany Marie Willingham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tiffany Marie Willingham, SUDRC 14400 Newport Ave Apt 91, Tustin, CA 92780-5624 Ph: (949) 343-6566 | Tiffany Marie Willingham, SUDRC 671 Governor St, Costa Mesa, CA 92627-2504 Ph: (949) 343-6565 |
Reviews and Comments