Individual provider Active NPI

Tyler James Varisco

  • Counselor
  • Lafayette, LA
National Provider Identifier
1245807411
Registry record updated Dec 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PLC9964 Issued in LA
Practice address
220 Wilkie St Apt 731
Lafayette, LA 70506-4095
Phone
(337) 280-4807
NPI assigned
Jun 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PLC9964 LA Primary

Addresses

Primary practice location

220 Wilkie St Apt 731
Lafayette, LA 70506-4095

Mailing address

220 Wilkie St Apt 731
Lafayette, LA 70506-4095
Phone (337) 280-4807

Other practice location 1

6685 Sullivan Rd Ste B
Greenwell Springs, LA 70739-3112
Phone (225) 261-7143

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address TVarisco@hcohealth.com Direct
Direct Messaging Address TVarisco@hcohealth.com

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

LicenseStateTypeSpecialty
PLC9964LAMDCounselor

Interoperability endpoints

  • Direct secure messaging: tvarisco@hcohealth.com

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703462400000",
    "number": "1245807411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WILKIE ST APT 731",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064095",
            "telephone_number": "337-280-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WILKIE ST APT 731",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064095",
            "telephone_number": "337-280-4807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6685 Sullivan Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Greenwell Springs",
            "state": "LA",
            "postal_code": "707393112",
            "country_code": "US",
            "telephone_number": "225-261-7143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARISCO",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "PLC9964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TVarisco@hcohealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "220 Wilkie St Apt 731",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705064095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TVarisco@hcohealth.com",
            "affiliation": "N",
            "address_1": "220 Wilkie St Apt 731",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705064095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; 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.