Individual provider Active NPI

Tyler Andrew Lamy, MA, LPC

  • Mental Health Counselor
  • Centennial, CO
National Provider Identifier
1831721042
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0019741 Issued in CO
Practice address
6551 S Revere Pkwy Ste 160
Centennial, CO 80111-6469
Phone
(720) 735-7444
NPI assigned
Feb 5, 2020
Last updated
Oct 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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 LPC-18537 AZ
Mental Health Counselor 101YM0800X LPC.0019741 CO Primary

Addresses

Primary practice location

6551 S Revere Pkwy Ste 160
Centennial, CO 80111-6469

Mailing address

681 W Scott Ave
Gilbert, AZ 85233-3234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240415000013 CO Practitioner - Mental Health Counselor 8325487093 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC-18537AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Original Path Counseling, LLC Professional CurrentSince Feb 29, 2024 Accepting new patients
A New Leaf, Inc. PastSince Feb 1, 2020 Accepting new patients

Locations

6551 S Revere Pkwy
Ste 160
Centennial, CO 80111
Phone (720) 335-7444

Organizations & group practices 2

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": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1831721042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 W SCOTT AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 S REVERE PKWY STE 160",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116469",
            "telephone_number": "720-735-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMY",
        "first_name": "TYLER",
        "middle_name": "ANDREW",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-18537",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0019741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.