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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. TYLER DERUYTER BRASSARD MS
NPI 1033692413
Counselor in Springfield, MA

Active since September 11, 2018PECOS Enrolled
1500 MAIN STREET, 8TH FLOOR, SPRINGFIELD, MA 01115(413) 642-1630 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 27, 2026, Aug 31, 2026, Nov 20, 2019 and 1 more (4 updates tracked since 2018).

About Mr. Tyler Deruyter Brassard Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TYLER DERUYTER BRASSARD MS (NPI 1033692413) is an individual counselor in Springfield, Massachusetts, licensed in Massachusetts (LMHC10005196) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1033692413
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. TYLER DERUYTER BRASSARDCredential: MS
Location Address1500 MAIN STREET, 8TH FLOORSpringfield, MA 01115
Mailing Address1500 Main Street, 8th FloorSpringfield, MA 01115 · (413) 642-1630
Phone(413) 642-1630
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 11, 2018
Last NPPES UpdateOctober 27, 20264 updates tracked since enumeration
NPPES CertifiedOctober 27, 2026
✔ NPI 1033692413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MA · LMHC10005196
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1500 MAIN STREET, Springfield, MA 01115
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Tyler Deruyter Brassard Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193215945
PECOS Enrollment IDI20251110000526
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tyler Brassard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Creative Art Therapies And Wellness
4.0 mi
Mental Health
167 DWIGHT RD STE 104
Longmeadow, MA 01106
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4 clinicians in this Medicare group
NPI 1164231973 (413) 686-0031

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOURDES T. BALESTIER
Case Manager/Care Coordinator
1500 MAIN STREET, 8TH FLOOR
SPRINGFIELD, MA 01115
Hampden County (413) 276-6086
MASS SENIOR CARE LLC CIVILITY HOME CARE
In Home Supportive Care
1500 MAIN STREET, 8TH FLOOR- UNIT 800
SPRINGFIELD, MA 01115
Hampden County (413) 474-7438
JACKSON PSYCHIATRIC SERVICES PLLC
Nurse Practitioner (Psychiatric/Mental Health)
1500 MAIN STREET, #15024
SPRINGFIELD, MA 01115
Hampden County (413) 265-8714
JENNIFER SOUSA SWEITZER
Counselor (Mental Health)
1500 MAIN STREET, SUITE 240A
SPRINGFIELD, MA 01115
Hampden County (888) 763-7272
VIPCARE PLLC
Internal Medicine
1500 MAIN STREET, SUITE 2508
SPRINGFIELD, MA 01115
Hampden County (413) 798-8778
SWIFT TRANSPORTATION SERVICE LLC
Transportation Network Company
1500 MAIN STREET, SUITE 800
SPRINGFIELD, MA 01115
Hampden County (203) 494-1756
BEMORE WELLNESS, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1500 MAIN STREET, 8TH FLOOR
SPRINGFIELD, MA 01115
Hampden County (413) 297-7434
MAI HEALTH & HUMAN SERVICES LLC
Social Worker
1500 MAIN STREET, 8TH FLOOR
SPRINGFIELD, MA 01115
Hampden County (774) 451-8178

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Brassard's NPI number?

The NPI number for Tyler Brassard is 1033692413. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Tyler Brassard located?

Tyler Brassard practices at 1500 Main Street 8th Floor, Springfield, MA 01115. The listed phone number is (413) 642-1630.

What is Tyler Brassard's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Tyler Brassard enrolled in Medicare?

Yes. Tyler Brassard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tyler Brassard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Brassard reassigns Medicare benefits to Creative Art Therapies And Wellness (Longmeadow, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyler Brassard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Brassard accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Tyler Brassard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Brassard was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.