Casey Tyskowski, LPC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2020009336 Issued in MO

Practice address

140 Weldon Pkwy
Maryland Heights, MO 63043-3115

Phone

(314) 569-2278

NPI assigned

Aug 31, 2021

Sex

Female

Sole proprietor

No

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

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.

• Sana Lake Recovery Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Maryland Heights, MO
  • NPI 1861026098
  NPD

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1972271484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 YAEGER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631292329",
            "telephone_number": "314-686-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WELDON PKWY",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433115",
            "telephone_number": "314-569-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSKOWSKI",
        "first_name": "CASEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "2020009336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Travis-Johnson
• Alana Travis
• Laronda Treadway, LPC
• Kristin Triplett, PT, DPT
• Cheng C Tsai, M.D.
• Marissa Kathryn Uecker
• US Medgroup of Kansas PA
• Janette Patricia Valentine
• Mark Veenhuis, OD
• Laura J Vincent, PTA

• Addiction (Substance Use Disorder) Counselor in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Addiction (Substance Use Disorder) Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.