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

Tiffani Gebhardt

Individual provider Professional Counselor · NPI 1306563374

Tiffani Gebhardt is a Mental Health Counselor in Forty Fort, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Thaxton Holistic Wellness Center, a 22-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2022

Practice location Address checks out

1169 Wyoming Ave
Forty Fort, PA 18704-4003
Phone: (570) 904-7363
Fax: (570) 348-4079
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC014991 (PA)

Record details

NPI number1306563374
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 20, 2022
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022
Mailing address228 S Main Ave, Scranton, PA 18504-2545

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Thaxton Holistic Wellness Center — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Forty Fort