Individual provider Active NPI

Marcia Lynn Tryon, M

  • Mental Health Counselor
  • Fall River, MA
National Provider Identifier
1811049919
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6722 Issued in MA
Practice address
421 Currant Rd
Fall River, MA 02720-4712
Phone
(401) 862-5248
NPI assigned
Jan 17, 2007
Last updated
May 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Mental Health Counselor 101YM0800X 6722 MA Primary

Addresses

Primary practice location

421 Currant Rd
Fall River, MA 02720-4712

Mailing address

PO Box 1002
Portsmouth, RI 02871-0908
Phone (401) 862-5248

Other practice location 1

936 Aquidneck Ave
Middletown, RI 02842-7279
Phone (401) 862-5248

Other names 1

  • Marcia Lynn Tavares Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20260528000312 RI Practitioner - Mental Health Counselor 5395215669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Minds Psychiatry LLCGroup PAC ID 7911385182, 4 clinicians

Practice addresses (Care Compare)

301 State Ave
Tiverton, RI 02878-1062
Phone (774) 300-3444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6722MAMDMental Health Counselor

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1811049919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1002",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028710908",
            "telephone_number": "401-862-5248",
            "fax_number": "401-324-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 CURRANT RD",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027204712",
            "telephone_number": "401-862-5248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "936 Aquidneck Ave",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "RI",
            "postal_code": "028427279",
            "country_code": "US",
            "telephone_number": "401-862-5248",
            "fax_number": "401-619-7766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRYON",
        "first_name": "MARCIA",
        "middle_name": "LYNN",
        "credential": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "6722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIA",
            "last_name": "TAVARES",
            "middle_name": "LYNN",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.