Individual provider Active NPI

Tyler Strusowski

  • Mental Health Counselor
  • Washington, DC
National Provider Identifier
1407403041
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGPC00402 Issued in DC
Practice address
1032 15TH St NW Ste 334
Washington, DC 20005-1502
Phone
(617) 981-4910
NPI assigned
Aug 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LGPC00402 DC Primary

Addresses

Primary practice location

1032 15TH St NW Ste 334
Washington, DC 20005-1502

Mailing address

1417 Staples St NE Apt 3
Washington, DC 20002-2958

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jac@croneesquivelgroupllc.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
LGPC00402DCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1407403041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 STAPLES ST NE APT 3",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200022958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 15TH ST NW STE 334",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200051502",
            "telephone_number": "617-981-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUSOWSKI",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "LGPC00402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jac@croneesquivelgroupllc.com",
            "affiliation": "N",
            "endpointDescription": "Clinical Director Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1032 15th St NW Ste 334",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200051502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.

Verify at the official NPI Registry.