Active NPI
Sara Elizabeth Tyner
- Mental Health Counselor
- West Lafayette, IN
National Provider Identifier
1992078091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 35002005A
- Practice address
- 932 Robinson St
West Lafayette, IN 47906-2766 - Phone
- (765) 790-3186
- NPI assigned
- Feb 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1678 | NC | |
| Mental Health Counselor | 101YM0800X | 35002005A | IN | Primary |
Addresses
Primary practice location
932 Robinson St
West Lafayette, IN 47906-2766
Mailing address
932 Robinson St
West Lafayette, IN 47906-2766
Phone (765) 790-3186
Other practice location 1
120 Coastal Horizons Dr
Shallotte, NC 28470-6094
Phone (910) 754-4515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35002005A | IN | MD | Mental Health Counselor |
| 1678 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1992078091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "932 ROBINSON ST",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479062766",
"telephone_number": "765-790-3186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 ROBINSON ST",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479062766",
"telephone_number": "765-790-3186"
}
],
"practiceLocations": [
{
"address_1": "120 Coastal Horizons Dr",
"address_purpose": "LOCATION",
"city": "Shallotte",
"state": "NC",
"postal_code": "284706094",
"country_code": "US",
"telephone_number": "910-754-4515",
"fax_number": "910-754-7997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYNER",
"first_name": "SARA",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-21",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1678",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "35002005A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.