Individual provider Active NPI

Juliana K. Tyler, MA, LMHC, NCC

  • Mental Health Counselor
  • Edmonds, WA
National Provider Identifier
1194929968
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00011082 Issued in WA
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

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
LH00011082WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chrysalis Counseling Services PLLC Mental Health CurrentSince Jun 25, 2023 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

Verify at the official NPI Registry.