TYSON JAMES CONNER (NPI# 1427465798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427465798 |
| Entity Type | Individual |
| Full Name | TYSON JAMES CONNER |
| Credential | MA, LMHC |
| Practice Address |
19730 64th Ave W Ste 301 Lynnwood WA 98036-5957 |
| Practice Telephone | 2062341905 |
| Practice Fax Number | 2067851689 |
| Mailing Telephone | 2062341905 |
| Mailing Fax Number | 2067851689 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2020-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH60735609 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1026117 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 402 Ne 72nd St Ste 1, Seattle, WA 98115 | 2062341905 | |
| 4526 Federal Ave, Everett, WA 982032132 | 5412315050 | |
| 753 N 35th St Ste 310, Seattle, WA 98103 | 2062341905 |
| Street Address |
19730 64TH AVE W STE 301 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-5957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372062 | Sheryl L Copeland | Counselor | 20315 73rd Ave W, Lynnwood, WA 98036-5806 | 2020-09-28 |
| 1629686654 | Emotesy Child and Family Counseling Services, Pllc | Counselor | 16521 13th Ave W Ste 112, Lynnwood, WA 98037-8513 | 2020-07-15 |
| 1194341685 | Lakeview Mental Health | Counselor | 19109 36th Ave W Ste 210, Lynnwood, WA 98036-5767 | 2020-06-19 |
| 1255987368 | Pacific Mental Health LLC | Counselor | 5108 196th St Sw Ste 350, Lynnwood, WA 98036-6169 | 2019-08-14 |
| 1457835381 | Michael Robert Martindale | Counselor | 16717 Alderwood Mall Pkwy, Apt K407, Lynnwood, WA 98037-9803 | 2018-09-17 |
| 1063990661 | Kyong Yim | Counselor | 17300 Highway 99, Lynnwood, WA 98037-3142 | 2018-08-06 |
| 1609386663 | Beth Ellen Friedland | Counselor | 20102 Cedar Valley Rd Ste 201, Lynnwood, WA 98036-6333 | 2017-10-04 |
| 1598130049 | Sandra Sue Ellis | Counselor | 20102 Cedar Valley Rd Ste 106, Lynnwood, WA 98036-6333 | 2015-12-09 |
| 1053786095 | Cecily Woodard | Counselor | 4715 212th St Sw, Lynnwood, WA 98036-7725 | 2015-12-02 |
| 1174991731 | Matthew Keeker | Counselor | 15001 35th Ave W, Apt 03-205, Lynnwood, WA 98087-2343 | 2015-09-11 |
| Find all providers in LYNNWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.