Active NPI
Steven Allen Tyree
- Marriage & Family Therapist
- Bowling Green, KY
National Provider Identifier
1235695461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 241592
- Practice address
- 1911B Scottsville Rd
Bowling Green, KY 42104-3303 - Phone
- (270) 779-6866
- NPI assigned
- Feb 12, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 241592 | KY | Primary |
Addresses
Primary practice location
1911B Scottsville Rd
Bowling Green, KY 42104-3303
Mailing address
1911B Scottsville Rd
Bowling Green, KY 42104-3303
Phone (270) 779-6866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 241592 | KY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1235695461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911B SCOTTSVILLE RD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421043303",
"telephone_number": "270-779-6866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911B SCOTTSVILLE RD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421043303",
"telephone_number": "270-779-6866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYREE",
"first_name": "STEVEN",
"middle_name": "ALLEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-12",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KY",
"license": "241592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.