Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Tiffany Perry-Wilson, PHD, LPC, LCPC, NCC

Individual provider Mental Health Counselor · NPI 1265920219

Dr. Tiffany Perry-Wilson, PHD, LPC, LCPC, NCC is a Mental Health Counselor in Waldorf, Maryland. Qualified in 2015, 11 years ago. Practices with Psychological and Life Skills Associates PC, a 9-clinician group and accepts Medicare assignment.

Years since qualifying
11
In the registry since
2018
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

173 Saint Patricks Dr Ste 104
Waldorf, MD 20603-5530
Phone: (571) 474-2750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1265920219
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LPC , LCPC , NCC
Sole proprietorYes
NPI enumeratedApril 25, 2018
Last updated in NPPESMay 31, 2026
Certification dateMay 31, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Psychological And Life Skills Associates Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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