MR. TYSON BROWN LPC
NPI 1407290265
Counselor - Professional in Ann Arbor, MI
About Mr. Tyson Brown Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TYSON BROWN LPC (NPI 1407290265) is an individual professional provider in Ann Arbor, Michigan, licensed in Michigan (6401013273) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Tyson Brown Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tyson Brown reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ann Arbor, MI 48103
- Reassigned Medicare billing, Michigan enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Tyson Brown's NPI number?
The NPI number for Tyson Brown is 1407290265. It was assigned to this individual provider in the NPPES registry on April 24, 2013.
Where is Tyson Brown located?
Tyson Brown practices at 3677 Prospect Rd, Ann Arbor, MI 48105. The listed phone number is (517) 862-8176.
What is Tyson Brown's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Tyson Brown enrolled in Medicare?
Yes. Tyson Brown is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tyson Brown's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyson Brown reassigns Medicare benefits to Refreshing Waters Counseling & Consulting (Ann Arbor, MI). 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 Tyson Brown's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyson Brown accept?
Health plans from Oscar Insurance Company and UnitedHealthcare list Tyson Brown 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 Tyson Brown was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Tyson Brown, LPC · NPI 1407290265
Professional provider in Ann Arbor, Michigan. Individual provider, active in the CMS NPPES registry since April 24, 2013.
## Identity
- **NPI:** 1407290265 (Entity type: Individual)
- **Enumerated:** April 24, 2013
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401013273 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3677 PROSPECT RD, Ann Arbor, MI 48105-9534
- **Phone:** (517) 862-8176
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Refreshing Waters Counseling & Consulting (NPI 1124556386, Ann Arbor, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** June 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1407290265) · Data from the CMS NPPES public registry.