Tyson James Conner, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60735609 Issued in WA

Practice address

19730 64TH Ave W Ste 301
Lynnwood, WA 98036-5957

Phone

(206) 234-1905

Fax

(206) 785-1689

NPI assigned

Jul 17, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1427465798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19730 64TH AVE W STE 301",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365957",
            "telephone_number": "206-234-1905",
            "fax_number": "206-785-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19730 64TH AVE W STE 301",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365957",
            "telephone_number": "206-234-1905",
            "fax_number": "206-785-1689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 NE 72nd St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98115",
            "country_code": "US",
            "telephone_number": "206-234-1905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4526 Federal Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982032132",
            "country_code": "US",
            "telephone_number": "541-231-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "753 N 35th St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98103",
            "country_code": "US",
            "telephone_number": "206-234-1905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "753 N 35th St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98103",
            "country_code": "US",
            "telephone_number": "206-234-1905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNER",
        "first_name": "TYSON",
        "middle_name": "JAMES",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-17",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60735609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026117",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Lynnwood, WA
• Providers in Lynnwood, 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 Apr 9, 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.