Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Tiffany Fellows, PSYD

Individual provider Professional Counselor · NPI 1710939525

Dr. Tiffany Fellows, PSYD is a Clinical Psychologist in Lees Summit, Missouri. Qualified in 2007, 19 years ago. Practices with Rejuvenate, Inc, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
19
Licensed in
MO
In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

3367 NE Ralph Powell Rd
Lees Summit, MO 64064-2368
Phone: (816) 898-6294
Fax: (866) 335-7993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2006012611 (MO)

Record details

NPI number1710939525
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESDecember 31, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Rejuvenate, Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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