Nichole Mesa Tyree, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11175 Issued in MA

Practice address

52 Fairview St Ext Apt 1
South Glens Falls, NY 12803-4887

Phone

(518) 791-2219

NPI assigned

Sep 2, 2014

Last updated

Sep 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nichole Tyree Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Justice Resource Institute, Inc.

  dba JRI Behavioral Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salem, MA
  • NPI 1093787095
  NPD (past)

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1942600556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 FAIRVIEW ST EXT APT 1",
            "city": "SOUTH GLENS FALLS",
            "state": "NY",
            "postal_code": "128034887",
            "telephone_number": "518-791-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 FAIRVIEW ST EXT APT 1",
            "city": "SOUTH GLENS FALLS",
            "state": "NY",
            "postal_code": "128034887",
            "telephone_number": "518-791-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESA TYREE",
        "first_name": "NICHOLE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "11175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "TYREE",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristine M Karig
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• Karen Elleian Long, R.N.
• Evelyn Jeanne McFarren, RN
• Allison Leigh Messing Smitkin, DMD
• Kerrie Miksch, M.S.ED., CCC-SLP
• Sara Nelson
• Shawna M Noble, LMHC
• Nurishu Nutrition & Dietetic Services

• Mental Health Counselor in South Glens Falls, NY
• Providers in South Glens Falls, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.