Organization Active NPI

Anya Nyson, LLC

  • Clinical Social Worker
  • Traverse City, MI
National Provider Identifier
1801219738
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090188 Issued in MI
Legal business name
ANYA NYSON, LLC
Practice address
425 Boardman Ave
Traverse City, MI 49684-2687
Phone
(616) 304-3354
NPI assigned
Jan 29, 2014
Last updated
Oct 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Anya F Nyson, LMSWNPI 1992956643
Title
Owner/Psychotherapist
Phone
(616) 304-3354

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801090188 MI Primary

Addresses

Primary practice location

425 Boardman Ave
Traverse City, MI 49684-2687

Mailing address

1022 E State St
Traverse City, MI 49686-2718
Phone (616) 304-3354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140326000198 MI Part B Supplier - Clinic/Group Practice 6507097052 Receives reassigned benefits from 1 practitioner
Practice locations: Traverse City, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1801219738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 E STATE ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862718",
            "telephone_number": "616-304-3354",
            "fax_number": "616-304-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BOARDMAN AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842687",
            "telephone_number": "616-304-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANYA NYSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "NYSON",
        "authorized_official_first_name": "ANYA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "616-304-3354",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.