Individual provider Active NPI

Sharon Denise Tyer, MS, CRC, LPCA

  • Counselor
  • Greenville, NC
National Provider Identifier
1467926402
Registry record updated Jan 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
A14355 Issued in NC
Practice address
3106 S Memorial Dr Ste B
Greenville, NC 27834-6765
Phone
(252) 916-6048
NPI assigned
Jan 13, 2019
Last updated
Jan 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A14355 NC Primary

Addresses

Primary practice location

3106 S Memorial Dr Ste B
Greenville, NC 27834-6765

Mailing address

209 Slatestone Dr
Washington, NC 27889-7225
Phone (252) 945-9690

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
A14355NCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Yotaron Enrichment Resource Center Counselor PastSince Oct 13, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1547337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547337600000",
    "number": "1467926402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SLATESTONE DR",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278897225",
            "telephone_number": "252-945-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 S MEMORIAL DR STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346765",
            "telephone_number": "252-916-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYER",
        "first_name": "SHARON",
        "middle_name": "DENISE",
        "credential": "MS, CRC, LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-13",
        "last_updated": "2019-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A14355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.