Active NPI
Henry Marshal Tyler, LPCC
- Mental Health Counselor
- Glendale, CA
National Provider Identifier
1407338379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPCC7234
- Practice address
- 2505 Canada Blvd Ste 2
Glendale, CA 91208-2089 - Phone
- (928) 499-4871
- NPI assigned
- Sep 6, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC-17011 | AZ | |
| Mental Health Counselor | 101YM0800X | LPCC7234 | CA | Primary |
Addresses
Primary practice location
2505 Canada Blvd Ste 2
Glendale, CA 91208-2089
Mailing address
2505 Canada Blvd Ste 2
Glendale, CA 91208-2089
Phone (928) 499-4871
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPCC-7234 | Other | CA | CA BOARD OF BEHAVIORAL SCIENCES |
| LPC-17011 | Other | AZ | AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-17011 | AZ | MD | Counselor |
| LPCC7234 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1407338379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 CANADA BLVD STE 2",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912082089",
"telephone_number": "928-499-4871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 CANADA BLVD STE 2",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912082089",
"telephone_number": "928-499-4871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "HENRY",
"middle_name": "MARSHAL",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-06",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LPC-17011",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LPCC7234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA BOARD OF BEHAVIORAL SCIENCES",
"identifier": "LPCC-7234",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS",
"identifier": "LPC-17011",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.