Individual provider Active NPI

Janie Victoria Tyler, LPC

  • Mental Health Counselor
  • Arlington, VA
National Provider Identifier
1629555636
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701013560 Issued in VA
Practice address
2507 S Walter Reed Dr Unit D
Arlington, VA 22206-1208
Phone
(703) 380-2542
NPI assigned
Jul 23, 2018
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C.1801037-TRNE OH
Mental Health Counselor 101YM0800X 0701013560 VA Primary

Addresses

Primary practice location

2507 S Walter Reed Dr Unit D
Arlington, VA 22206-1208

Mailing address

14869 Cloverdale Rd
Woodbridge, VA 22193-1769
Phone (419) 455-5198

Other practice location 1

1925 Hayes Ave
Sandusky, OH 44870-4737
Phone (419) 557-5177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240927003244 VA Practitioner - Mental Health Counselor 7315478500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7969 Ashton Ave
Manassas, VA 20109-2885
Phone (703) 792-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1801037-TRNEOHMDCounselor
0701013560VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prince William County Community Services Board CurrentSince May 17, 2024 Accepting new patients
Prince William County CurrentSince May 17, 2024 Accepting new patients
Belonging Counseling, Inc. Mental Health CurrentSince Aug 1, 2024 Accepting new patients

Locations

7969 Ashton Ave
Manassas, VA 20109
Phone (703) 792-7826

14011 Worth Ave
Ste 110
Woodbridge, VA 22192

Organizations & group practices 3

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1629555636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14869 CLOVERDALE RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931769",
            "telephone_number": "419-455-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 S WALTER REED DR UNIT D",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222061208",
            "telephone_number": "703-380-2542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1925 Hayes Ave",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448704737",
            "country_code": "US",
            "telephone_number": "419-557-5177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYLER",
        "first_name": "JANIE",
        "middle_name": "VICTORIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.1801037-TRNE",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701013560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.