Tiffany Fellows, PSY.D.
NPI 1710939525ActiveIndividual· Counselor, Professional· Lees Summit, MO
Counselor, Professional (PSY.D.) with Rejuvenate, Inc, practicing in Lees Summit, Missouri. Medicare paid $18,084 for services to 16 patients in 2024.
Overview
| NPI | 1710939525 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | No |
| NPI issued | May 17, 2006 |
| Last updated in NPPES | Dec 31, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 2006012611 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 250 across 8 procedure codes |
| Paid by Medicare | $18,084 |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Rejuvenate, IncLees Summit, MO · 4 clinicians
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