Tyler Hogan, NCC, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00545800 Issued in NJ

Practice address

11 Robertson Way
Lincoln Park, NJ 07035-1826

Phone

(973) 975-9846

NPI assigned

Nov 10, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1306554134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ROBERTSON WAY",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351826",
            "telephone_number": "973-975-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "TYLER",
        "credential": "NCC, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00545800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Saunders Greenfield, PT
• Erin Leigh Greenspan, M.A., L.A.C.
• Hands With Heart
• Kristin Nicole Hernandez, OTR/L
• Beata Hertel-Kiszkiel, OT
• Sandra N Hunka, RD
• Icchoice
• Internal Medicine Associates of Lincoln Park, P.a.
• Dania Irshaid
• Thomas S Iulo, DMD

• Mental Health Counselor in Lincoln Park, NJ
• Providers in Lincoln Park, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.