Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Katherine Tyrrell

Individual provider Mental Health Counselor · NPI 1417525650

Lisa Katherine Tyrrell is a Mental Health Counselor in Springfield, Massachusetts. Qualified in 2021, 5 years ago. Accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

417 Liberty St
Springfield, MA 01104-3736
Phone: (413) 733-6661
Fax: (413) 733-7841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Mental Health Counselor Taxonomy 101YM0800X · Licence LMHC10003706 (MA)

Record details

NPI number1417525650
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 14, 2021
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address417 Liberty St, Springfield, MA 01104-3736

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Springfield