Individual provider Active NPI

Tina Renae Huseth, LCDC, LPC

  • Professional Counselor
  • Tyler, TX
National Provider Identifier
1902309487
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
82779 Issued in TX
Practice address
11849 County Road 461
Tyler, TX 75706-4823
Phone
(903) 920-7847
Fax
(903) 686-0394
NPI assigned
Mar 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 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 82779 TX
Mental Health Counselor 101YM0800X 82779 TX
Professional Counselor 101YP2500X 82779 TX Primary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 13554 TX

Addresses

Primary practice location

11849 County Road 461
Tyler, TX 75706-4823

Mailing address

11849 County Road 461
Tyler, TX 75706-4823
Phone (903) 210-4515

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://tinahuseth.com/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240530004093 TX Practitioner - Mental Health Counselor 9739581232 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13554TXMDProfessional Counselor
82779TXMDProfessional Counselor

Interoperability endpoints

  • Direct secure messaging: tinahusethcounseling.tinahuseth@157827.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1902309487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11849 COUNTY ROAD 461",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757064823",
            "telephone_number": "903-210-4515",
            "fax_number": "903-367-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11849 COUNTY ROAD 461",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757064823",
            "telephone_number": "903-920-7847",
            "fax_number": "903-686-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSETH",
        "first_name": "TINA",
        "middle_name": "RENAE",
        "credential": "LCDC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "82779",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "82779",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82779",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13554",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://tinahuseth.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "11849 County Road 461",
            "city": "Tyler",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757064823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.