Tyler Van Zeeland, LMFT-IT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

804-228 Issued in WI

Practice address

2211 Oregon St Ste N
Oshkosh, WI 54902-7001

Phone

(920) 479-1996

Fax

(920) 479-1997

NPI assigned

Jan 16, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mind Body Program LLCGroup PAC ID 4183756877, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mind Body Program LLC

  • Professional Counselor
  • Juneau, WI
  • NPI 1205084118

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Oshkosh Marriage and Family Therapy Center, LLC

  • Marriage & Family Therapist
  • Oshkosh, WI
  • NPI 1184494551
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1053182287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 OREGON ST STE N",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549027001",
            "telephone_number": "920-479-1996",
            "fax_number": "920-479-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 OREGON ST STE N",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549027001",
            "telephone_number": "920-479-1996",
            "fax_number": "920-479-1997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3121 W Spencer St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549144323",
            "country_code": "US",
            "telephone_number": "920-850-5746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN ZEELAND",
        "first_name": "TYLER",
        "credential": "LMFT-IT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "804-228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Serenity Homes LLC
• Kevin Van Camp, PHARMD
• Rachael Van Dyke
• Erika Van Laarhoven
• William Van Sistine
• Teresa M Vanaacken, PT DPT OCS CSCS
• Brittany N Vanden Heuvel, APNP
• Jordan Vanden Heuvel
• Jamie D Vandenheuvel, APNP
• Nick Thomas Vander Bloomen, PMHNP

• Marriage & Family Therapist in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.