Active NPI
Juliana K. Tyler, MA, LMHC, NCC
- Mental Health Counselor
- Edmonds, WA
National Provider Identifier
1194929968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00011082
- Practice address
- 144 Railroad Ave Ste 205C
Edmonds, WA 98020-4121 - Phone
- (206) 604-0996
- NPI assigned
- Jun 13, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00011082 | WA | Primary |
Addresses
Primary practice location
144 Railroad Ave Ste 205C
Edmonds, WA 98020-4121
Mailing address
PO Box 1604
Mukilteo, WA 98275-7804
Phone (206) 604-0996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00011082 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chrysalis Counseling Services PLLC | Mental Health | Current | Accepting new patients |
Locations
144 Railroad Ave
Ste 205C
Edmonds, WA 98020
Phone (206) 604-0996
627 5th St
Ste 201
Mukilteo, WA 98275
Phone (206) 200-3957
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1194929968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1604",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982757804",
"telephone_number": "206-604-0996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 RAILROAD AVE STE 205C",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980204121",
"telephone_number": "206-604-0996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "JULIANA",
"middle_name": "K.",
"credential": "MA, LMHC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00011082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.