TINA RENAE HUSETH LCDC LPC NPI 1902309487

NPI Information

  • NPI: 1902309487
  • Provider Name: TINA RENAE HUSETH, LCDC, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11849 COUNTY ROAD 461
    TYLER, TX
    ZIP 75706
  • Phone: (903) 920-7847

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NPI Details

Tina Renae Huseth, LCDC, LPC is a professional counselor in Tyler, TX. Tina Renae Huseth, LCDC, LPC NPI is 1902309487. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11849 COUNTY ROAD 461
TYLER, TX
ZIP 75706-823
Phone: (903) 920-7847
Fax: (903) 686-0394

The NPI 1902309487 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 3/12/2018 and was last updated on 3/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional82779TEXASYes
2101YM0800XCounselorMental Health82779TEXASNo
3101Y00000XCounselor82779TEXASNo
4101YA0400XCounselorAddiction (Substance Use Disorder)13554TEXASNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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