Active NPI
Wanda Arlene Tyler, LPC
- Counselor
- Washington, DC
National Provider Identifier
1053647586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PRC13739
- Practice address
- 4201 Conn Ave NW
Suite 300
Washington, DC 20008-1158 - Phone
- (202) 624-0010
- NPI assigned
- Oct 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PRC13739 | DC | Primary |
Addresses
Primary practice location
4201 Conn Ave NW
Suite 300
Washington, DC 20008-1158
Mailing address
5807 Greenleaf Rd
Cheverly, MD 20785-1115
Phone (301) 509-8495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRC13739 | DC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255824000000",
"number": "1053647586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5807 GREENLEAF RD",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207851115",
"telephone_number": "301-509-8495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 CONN AVE NW",
"address_2": "SUITE 300",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200081158",
"telephone_number": "202-624-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "WANDA",
"middle_name": "ARLENE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-18",
"last_updated": "2009-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "DC",
"license": "PRC13739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.