Individual provider Active NPI

Shawn Suzzanne Tyras, LPC

  • Mental Health Counselor
  • Easley, SC
National Provider Identifier
1679967723
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6750 Issued in SC
Practice address
151 Vista Cir
Easley, SC 29642-8400
Phone
(864) 546-1309
NPI assigned
Mar 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6750 SC
Mental Health Counselor 101YM0800X 6750 SC Primary
Professional Counselor 101YP2500X 6750 SC
Mental Health Counselor 101YM0800X 6820 ME

Addresses

Primary practice location

151 Vista Cir
Easley, SC 29642-8400

Mailing address

151 Vista Cir
Easley, SC 29642-8400
Phone (864) 546-1309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, ME, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250317003228 SC Practitioner - Mental Health Counselor 3375065543 Reassigns benefits to 2 organizations
I20250818001237 ME Practitioner - Mental Health Counselor 3375065543 Reassigns benefits to 1 organization
I20250820000636 CA Practitioner - Mental Health Counselor 3375065543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

324 Ardmore Garden Dr
Unit 101
Hardeeville, SC 29927-2757
Phone (561) 221-5696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6820MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Provider Network Ca PC CurrentSince Jun 6, 2025 Accepting new patients
Talkspace Provider Network PA CurrentSince Dec 14, 2024 Accepting new patients
Manely Hope and Healing, PLLC PastSince May 25, 2025 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients

Locations

2578 Broadway
#607
New York, NY 10025
Phone (516) 847-5432

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1679967723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 VISTA CIR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296428400",
            "telephone_number": "864-546-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 VISTA CIR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296428400",
            "telephone_number": "864-546-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYRAS",
        "first_name": "SHAWN",
        "middle_name": "SUZZANNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "6750",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6750",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6750",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "6820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.