NPIMap

Organization Active NPI

Tyreese McAllister Clinical & Forensic Associates

  • Professional Counselor
  • Upper Marlboro, MD
National Provider Identifier
1316572217
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TYREESE MCALLISTER CLINICAL & FORENSIC ASSOCIATES
Practice address
9701 Apollo Dr Ste 100
Upper Marlboro, MD 20774-4785
Phone
(301) 636-5856
Fax
(301) 636-1110
NPI assigned
Mar 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Authorized official

Name
Mrs. Tyreese McAllister, LPC
Title
Owner
Phone
(301) 636-5856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

9701 Apollo Dr Ste 100
Upper Marlboro, MD 20774-4785

Mailing address

9701 Apollo Dr Ste 100
Upper Marlboro, MD 20774-4785
Phone (301) 636-5856

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1316572217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR STE 100",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207744785",
            "telephone_number": "301-636-5856",
            "fax_number": "301-636-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR STE 100",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207744785",
            "telephone_number": "301-636-5856",
            "fax_number": "301-636-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYREESE MCALLISTER CLINICAL & FORENSIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "MCALLISTER",
        "authorized_official_first_name": "TYREESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-636-5856",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.