NPIMap

Organization Active NPI

Joyce Foreman Shayler

Doing business as East Texas Mental Health Associates

  • Mental Health Counselor
  • Tyler, TX
National Provider Identifier
1083707947
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
02775 Issued in TX
Legal business name
JOYCE FOREMAN SHAYLER
Doing business as
East Texas Mental Health Associates
Practice address
5620 Old Bullard Rd
Suite 111
Tyler, TX 75703-4358
Phone
(903) 526-7284
Fax
(903) 534-4987
NPI assigned
Oct 2, 2006
Reactivated
Apr 6, 2009
Last updated
Apr 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Joyce Foreman Shayler, LCSW
Title
Owner
Phone
(903) 526-7284

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 02775 TX Primary
Professional Counselor 101YP2500X 13460 TX

Addresses

Primary practice location

5620 Old Bullard Rd
Suite 111
Tyler, TX 75703-4358

Mailing address

PO Box 9684
Tyler, TX 75711-2684
Phone (903) 526-7284

Other names 1

  • East Texas Mental Health Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1405 S Fleishel Ave
Ste 332
Tyler, TX 75701
Phone (903) 526-7284

5620 Old Bullard Rd
Ste 111
Tyler, TX 75703
Phone (903) 526-7284

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1083707947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9684",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757112684",
            "telephone_number": "903-526-7284",
            "fax_number": "903-534-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 OLD BULLARD RD",
            "address_2": "SUITE 111",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034358",
            "telephone_number": "903-526-7284",
            "fax_number": "903-534-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYCE FOREMAN SHAYLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-04-06",
        "deactivation_date": "2008-07-28",
        "reactivation_date": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "SHAYLER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "FOREMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-526-7284",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "02775",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13460",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Texas Mental Health Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.

Verify at the official NPI Registry.