Rosemary Bannon Tyksinski, MA, LMHC, PHD, BCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMHC 4359 Issued in WA

Practice address

2200 112TH Ave NE
Suite 100
Bellevue, WA 98004-2951

Phone

(425) 462-5161

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1306063342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 112TH AVE NE",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042951",
            "telephone_number": "425-462-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 112TH AVE NE",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042951",
            "telephone_number": "425-462-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYKSINSKI",
        "first_name": "ROSEMARY",
        "middle_name": "BANNON",
        "name_prefix": "Dr.",
        "credential": "MA, LMHC, PHD, BCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LMHC 4359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCC",
            "identifier": "68418",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED COACH (BCC); CCE",
            "identifier": "1907",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne E Tuttle, MD
• Clint Eric Tuttle, D.C.
• Sarah Tyack, RN, IBCLC
• Tyan in-Home Primary Care, Inc.
• Emily Joy Tyde, CPM
• Donelle J Tyler, M.ED.
• Scott E Tyler, MD
• Emily Tyra
• Phyllis Tyson, PH.D.
• Shie-Pon Tzung, MD PHD

• Mental Health Counselor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.