VERDALE TYSON LPC
NPI 1548080823
Counselor - Professional in Chicago, IL

Q: What is Verdale Tyson's NPI number?

The NPI number for Verdale Tyson is 1548080823. It was assigned to this individual provider in the NPPES registry on October 11, 2024. The provider is also known as Verdale Tyson-Harris.

Q: What is Verdale Tyson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Verdale Tyson was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 October 11, 2024

119 S WESTERN AVE # 364, CHICAGO, IL 60612(773) 230-1217 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Verdale Tyson Lpc NPPES

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

VERDALE TYSON LPC (NPI 1548080823) is an individual professional provider in Chicago, Illinois, licensed in Illinois (178020721) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1548080823

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameVERDALE TYSONCredential: LPC

Location Address119 S WESTERN AVE # 364Chicago, IL 60612-4643

Mailing Address119 S Western Ave # 364Chicago, IL 60612-4643 · (773) 230-1217

Phone(773) 230-1217

Sole ProprietorYes

Enumeration DateOctober 11, 2024

NPPES CertifiedOctober 11, 2024

✔ NPI 1548080823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 178020721

Also ListedCounselorTaxonomy 101Y00000X · License 178020721 (IL)

119 S WESTERN AVE # 364, Chicago, IL 60612

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Other Names 1

Other Name (5)Verdale Tyson-harris

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 Verdale Tyson's NPI number?

The NPI number for Verdale Tyson is 1548080823. It was assigned to this individual provider in the NPPES registry on October 11, 2024. The provider is also known as Verdale Tyson-Harris.

Where is Verdale Tyson located?

Verdale Tyson practices at 119 S Western Ave # 364, Chicago, IL 60612. The listed phone number is (773) 230-1217.

What is Verdale Tyson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Verdale Tyson was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.