Tyrone Austin

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

17368 W 12 Mile Rd Ste 201
Southfield, MI 48076-6308

Phone

(313) 492-8452

NPI assigned

Sep 25, 2018

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Revived Mind Counseling Services

  • Social Worker
  • Okemos, MI
  • NPI 1083323570
  NPD (past)
• Transformative Mind Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Southfield, MI
  • NPI 1336655182
  NPD (past)

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1134604200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17368 W 12 MILE RD STE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766308",
            "telephone_number": "313-492-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17368 W 12 MILE RD STE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766308",
            "telephone_number": "313-492-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "TYRONE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Austin
• Ayden Austin
• Cashmier Austin
• Latoya Tamara Austin, M.D.
• Rebecca Austin, AT, ATC
• Auto & Work Comp Rehab LLC
• Auto Injury Massage Therapy Inc
• Earl G Auty, CRNA
• Avali Medtech LLC
• Avalon Care LLC

• Mental Health Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.