Anthony Tyre, NCC, LPC-A, LCAS-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A13578 Issued in NC

Practice address

417 N Bridge St
Washington, NC 27889-4827

Phone

(252) 494-2061

Fax

(252) 362-0336

NPI assigned

Feb 7, 2017

Last updated

Jan 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastern Community Care Foundation

  dba Clear Point

  • Mental Health Counselor
  • Washington, NC
  • NPI 1023505112

  Addiction (Substance Use Disorder)

  NPD Authorized official
• 4.1.7 Counseling, PLLC

  • Mental Health Counselor
  • Washington, NC
  • NPI 1104783612
  Authorized official Same address or phone

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1295273597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441",
            "city": "AURORA",
            "state": "NC",
            "postal_code": "278060441",
            "telephone_number": "252-495-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N BRIDGE ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894827",
            "telephone_number": "252-494-2061",
            "fax_number": "252-362-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYRE",
        "first_name": "ANTHONY",
        "credential": "NCC, LPC-A, LCAS-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-07",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "23429",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A13578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tunstall Psychological Services PLLC
• Hillary Tunstall, LPA, BCBA
• Stephanie Turnage, PA-C
• Daryl Turner Jr., DO
• Steven Tyndall, MSW, LCSW, LCAS
• Lisa A Ulmer
• Unified Behavioral Health, Inc
• United Human Services Inc
• Urgent Care Down East Inc
• Mariah Elisabeth Vanstaalduinen, OTR/L

• Mental Health Counselor in Washington, NC
• Providers in Washington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.