Tyler Deruyter Brassard, MS
NPI 1033692413ActiveIndividual· Counselor· Springfield, MA
Counselor (MS) with Creative Art Therapies and Wellness, practicing in Springfield, Massachusetts. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1033692413 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS |
| Sole proprietor | Yes |
| NPI issued | Sep 11, 2018 |
| Last updated in NPPES | Oct 27, 2026 |
| Certified by provider | Oct 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | LMHC10005196 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MA) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Creative Art Therapies and WellnessLongmeadow, MA · 3 clinicians
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