Organization Active NPI

Tyler Counseling Services LLC

  • Professional Counselor
  • Tyler, TX
National Provider Identifier
1205252020
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TYLER COUNSELING SERVICES LLC
Practice address
1800 Shiloh Rd Ste 301
Tyler, TX 75703-2456
Phone
(903) 871-5017
NPI assigned
Mar 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Gary Wade McDonald, LPCNPI 1841537727
Title
Managing Member
Phone
(903) 570-9319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1800 Shiloh Rd Ste 301
Tyler, TX 75703-2456

Mailing address

1820 Shiloh Rd Ste 1101
Tyler, TX 75703-2458
Phone (903) 871-5017

Other names 1

  • Crosspoint Counseling Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240531000145 TX Part B Supplier - Clinic/Group Practice 5597107896 Receives reassigned benefits from 4 practitioners
Practice locations: Tyler, TX

National Provider Directory

National Provider Directory

Locations

1800 Shiloh Rd
Ste 301
Tyler, TX 75703
Phone (903) 871-5017

1820 Shiloh Rd
Ste 1101
Tyler, TX 75703
Phone (903) 509-4555

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1205252020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 SHILOH RD STE 1101",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032458",
            "telephone_number": "903-871-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SHILOH RD STE 301",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032456",
            "telephone_number": "903-871-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "903-570-9319",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crosspoint Counseling Services",
            "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 May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.