Active NPI
Yoni Tyson, LPC
- Professional Counselor
- Blacksburg, VA
National Provider Identifier
1083200802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701010143
- Practice address
- 700 University City Blvd
Blacksburg, VA 24060-2706 - Phone
- (540) 961-8300
- Fax
- (540) 961-8465
- NPI assigned
- Dec 16, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 0701010143 | VA | Primary |
Addresses
Primary practice location
700 University City Blvd
Blacksburg, VA 24060-2706
Mailing address
700 University City Blvd
Blacksburg, VA 24060-2706
Phone (540) 961-8300
Other names 1
- Yoni Tyson
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 |
|---|---|---|---|
| 0701010143 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1083200802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 UNIVERSITY CITY BLVD",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240602706",
"telephone_number": "540-961-8300",
"fax_number": "540-961-8465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 UNIVERSITY CITY BLVD",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240602706",
"telephone_number": "540-961-8300",
"fax_number": "540-961-8465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYSON",
"first_name": "YONI",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-16",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701010143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YONI",
"last_name": "TYSON",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.