Sara Joy Tysman, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6451019471 Issued in MI

Practice address

109 N Buchanan St Ste D
Spring Lake, MI 49456-1705

Phone

(616) 209-8282

Fax

(616) 344-2087

NPI assigned

Aug 24, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 15, 2025 through Mar 15, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Life Tree Counseling PLLC

  • Professional Counselor
  • Spring Lake, MI
  • NPI 1457229254
  NPD Authorized official
• Young Counseling & Consulting, LLC

  • Professional Counselor
  • Holland, MI
  • NPI 1144181678
  NPD

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1952078438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13793 LINCOLN ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494178819",
            "telephone_number": "616-638-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N BUCHANAN ST STE D",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494561705",
            "telephone_number": "616-209-8282",
            "fax_number": "616-344-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSMAN",
        "first_name": "SARA",
        "middle_name": "JOY",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451019471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas L Vanwingen MD PC
• Anna Olivia Thomas, OD
• Thrive Mind Therapy LLC
• Tierney Mosier Therapy LLC
• Rebecca Turbett, NURSE PRACTITIONER
• Brianne Kristen Umphrey-Twa
• Unlimited Possibilities LLC
• David C Vanandel, MSPT
• Lindsay Marie Vandyke, LLMFT, LLC
• Adeline Maris Vannoller

• Professional Counselor in Spring Lake, MI
• Providers in Spring Lake, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.