MS. JEANNINE ALISE TYREE MRC, CRC, LLPC
NPI 1083101729
Counselor in Westland, MI

Q: What is Jeannine Tyree's NPI number?

The NPI number for Jeannine Tyree is 1083101729. It was assigned to this individual provider in the NPPES registry on April 18, 2018.

Q: What is Jeannine Tyree's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeannine Tyree was last updated on April 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.

Active since April 18, 2018PECOS EnrolledAccepts Medicare Assignment

28303 JOY RD, WESTLAND, MI 48185(734) 513-1122(734) 421-1405 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Jeannine Alise Tyree Mrc, Crc, Llpc NPPES

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

MS. JEANNINE ALISE TYREE MRC, CRC, LLPC (NPI 1083101729) is an individual counselor in Westland, Michigan, licensed in Michigan (6401015860) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1083101729

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMS. JEANNINE ALISE TYREECredential: MRC, CRC, LLPC

Location Address28303 JOY RDWestland, MI 48185-5524

Mailing Address710 Chicago BlvdDetroit, MI 48202-1421 · (313) 867-1115

Phone(734) 513-1122

Fax(734) 421-1405

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateApril 18, 2018

✔ NPI 1083101729 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 MI · 6401015860

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.

28303 JOY RD, Westland, MI 48185

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jeannine Alise Tyree Mrc, Crc, Llpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113423583

PECOS Enrollment IDI20251003002142

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.

Other Providers at the Same Location NPPES 20

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

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Behavior Analyst