Tiffany Ann Bascom, LCPC
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2007
- Practice address
- 1777 E Clark St, Pocatello, ID 83201
- Practice phone
- Call (208) 233-5433
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Life Change Associates
Pocatello, Idaho
Find Tiffany Bascom's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Tiffany Ann Bascom is a mental health counselor in Pocatello, Idaho
Tiffany Bascom practices at Life Change Associates in Pocatello, Idaho.
Tiffany Bascom's NPI, 1487701058, was assigned on January 4, 2007. Tiffany Bascom holds Idaho license LCPC-3801.
- NPI
- 1487701058NPI Registry (opens in a new tab)
- Medicare PAC ID
- 8527419308
- NPI enumeration date
- January 4, 2007
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (208) 233-5433
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 49
- Medical school graduation
- 2003
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Tiffany Ann Bascom practices at Life Change Associates in Pocatello, Idaho
Tiffany Bascom's primary practice is Life Change Associates, at 1777 E Clark St, Pocatello, ID 83201 in Bannock County. The practice phone is (208) 233-5433.
- Life Change Associates1777 E Clark St, Pocatello, ID 83201 · Bannock CountyPhone(208) 233-5433
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Tiffany Ann Bascom is affiliated with 2 sites of care and 1 medical group
Tiffany Bascom's primary practice is Life Change Associates in Pocatello, Idaho. The medical group on file is Life Change Associates. Dmand AI also links Tiffany Bascom to 1 more group practice or clinic, named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Tiffany Ann Bascom's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Tiffany Bascom practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Life Change Associates | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Tiffany Ann Bascom is one of 419 mental health counselors in Idaho
Mental health is Tiffany Bascom's primary specialty in the NPI Registry, under taxonomy code 101YM0800X. Tiffany Bascom is licensed in Idaho.
Specialties and state licenses
- Mental health counselor, IdahoPrimary
Mental health counselors near Tiffany Bascom
Counts of mental health counselors with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Tiffany Ann Bascom's patients have a median age of 48
Across all payers, Dmand AI patient panel data puts Tiffany Bascom's median patient age at 48, with 78% women.
Tiffany Bascom's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 48
Patient panel by sex, all payers
- Women78%
- Men11%
Source: Dmand AI Patient Panel Data
Tiffany Ann Bascom offers telehealth to Medicare patients
Tiffany Bascom accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Tiffany Bascom as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Tiffany Ann Bascom's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Tiffany Ann Bascom
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Tiffany Ann Bascom's NPI number?
Tiffany Ann Bascom's NPI number is 1487701058. It was assigned on January 4, 2007, and it is active in the NPI Registry.
What does Tiffany Ann Bascom specialize in?
Tiffany Ann Bascom is a mental health counselor in Pocatello, Idaho. The primary specialty in the NPI Registry is Mental Health Counselor (taxonomy code 101YM0800X).
Where does Tiffany Ann Bascom practice?
Tiffany Bascom practices at 1777 E Clark St, Pocatello, ID 83201. Tiffany Bascom's primary practice is Life Change Associates in Pocatello, Idaho. Dmand AI also links Tiffany Bascom to 1 group practice or clinic.
What is Tiffany Ann Bascom's office phone number?
The practice phone on file for Tiffany Bascom is (208) 233-5433.
What is Tiffany Ann Bascom's medical license number?
Tiffany Bascom holds Idaho license LCPC-3801.
What medical group is Tiffany Ann Bascom part of?
Tiffany Bascom is linked to Life Change Associates.
Does Tiffany Ann Bascom accept Medicare?
Yes. CMS lists Tiffany Bascom as accepting Medicare assignment.
Does Tiffany Ann Bascom offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Tiffany Bascom as offering telehealth services.
How long has Tiffany Ann Bascom been practicing?
Tiffany Bascom graduated from medical school in 2003, 23 years ago.
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