Active NPI
Tyrone Obaseki, LPC
- Professional Counselor
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 71993
- Practice address
- 1631 E 2ND St
Austin, TX 78702-4490 - Phone
- (757) 288-6365
- Fax
- (757) 767-4025
- NPI assigned
- Jun 18, 2017
- Last updated
- May 19, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 71993 | TX | Primary |
Addresses
Primary practice location
1631 E 2ND St
Austin, TX 78702-4490
Mailing address
PO Box 55040
Virginia Beach, VA 23471-5040
Phone (757) 288-6365
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 |
|---|---|---|---|
| 71993 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transformative Counseling and Wellness Solutions, PLLC | Professional | Current | Accepting new patients |
Locations
1914 J N Pease Pl
Charlotte, NC 28262
Phone (704) 754-8718
19901 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 207-1346
900 Commonwealth Pl
Ste 200
Virginia Beach, VA 23464
Phone (757) 432-2143
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Charlotte, NC
- NPI 1407509490
-
- Secured Medical Transport (VAN)
- Sugar Land, TX
- NPI 1104745314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1083144521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55040",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234715040",
"telephone_number": "757-288-6365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 E 2ND ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787024490",
"telephone_number": "757-288-6365",
"fax_number": "757-767-4025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBASEKI",
"first_name": "TYRONE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-18",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "71993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.