Individual provider Active NPI

Tonya Swartzendruber, LMHC

  • Mental Health Counselor
  • Nyack, NY
National Provider Identifier
1821655077
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009277 Issued in NY
Practice address
48 Burd St Ste 305
Nyack, NY 10960-3259
Phone
(347) 494-8926
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 009277 NY Primary

Addresses

Primary practice location

48 Burd St Ste 305
Nyack, NY 10960-3259

Mailing address

33 Lydecker St
Nyack, NY 10960-2103
Phone (347) 494-8926

Other names 1

  • Tonyaq Swartzendruber Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 29, 2024 through Jan 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
009277NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1821655077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LYDECKER ST",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602103",
            "telephone_number": "347-494-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 BURD ST STE 305",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603259",
            "telephone_number": "347-494-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZENDRUBER",
        "first_name": "TONYA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONYAQ",
            "last_name": "SWARTZENDRUBER",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Nyack, NY

Sources for this page

Verify at the official NPI Registry.