Active NPI
Tyreese Raesohn McAllister, LCPC
- Mental Health Counselor
- Alexandria, VA
National Provider Identifier
1508926262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701004069
- Practice address
- 720 N Saint Asaph St
Alexandria, VA 22314-1912 - Phone
- (703) 838-6400
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701004069 | VA | Primary |
Addresses
Primary practice location
720 N Saint Asaph St
Alexandria, VA 22314-1912
Mailing address
10104 Milwaukee CT
Upper Marlboro, MD 20774-6061
Phone (301) 452-4234
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 |
|---|---|---|---|
| 0701004069 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508926262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10104 MILWAUKEE CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207746061",
"telephone_number": "301-452-4234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 N SAINT ASAPH ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223141912",
"telephone_number": "703-838-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCALLISTER",
"first_name": "TYREESE",
"middle_name": "RAESOHN",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701004069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.