Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Denee Marie Tysol , SUDCC

Case Manager/Care Coordinator β€’ Fairfield, CA

Active NPI 1184392631 Individual Practitioner Female Practitioner
Practice location in NPPES

2101 Courage Dr # Ms 10-100
Fairfield, CA 945336717

Call 7077842271 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2101 Courage Dr # Ms 10-100

Fairfield, CA 945336717

Telephone 7077842271

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fairfield and California

60 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Fairfield, CA (22,844 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fairfield

0% of these 60 clinicians have the CMS telehealth indicator.

0% of these 60 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-02
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES CA 13816
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ‘€
Provider Name / Credentials Updated April 02, 2025

Recorded as DENEE TYSOL, SUDCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2025

Counselor (license number reported to NPPES: CA 13816)

πŸ“
Updated Practice Location June 25, 2024

Registered at 2101 COURAGE DR # MS 10-100, FAIRFIELD, CA 945336717 (Tel: 7077842271)

πŸ“
Updated Business Mailing Address June 25, 2024

Registered at 2101 COURAGE DR # MS 10-100, FAIRFIELD, CA 945336717 (Tel: 7077842271)

πŸ“
Updated Business Mailing Address April 27, 2023

Registered at 623 GREAT JONES ST, FAIRFIELD, CA 945336005 (Tel: 7076647798)

βœ…
NPI Profile Active September 01, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 01, 2021

Registered at 609 JEFFERSON ST, FAIRFIELD, CA 945336293 (Tel: 7073999190)

πŸ“
Business Mailing Address (Initial Record) September 01, 2021

Registered at 609 JEFFERSON ST, FAIRFIELD, CA 945336293 (Tel: 7073999190)

πŸ‘€
Provider Name / Credentials (Initial Record) September 01, 2021

Recorded as DENEE TYSOL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2021

Counselor

🟒
Initial NPI Registration & Enumeration August 31, 2021

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1184392631
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2021
Last Update: April 02, 2025
Sole Proprietor: Yes

Mailing Address

2101 Courage Dr # Ms 10-100

Fairfield, CA 945336717

Phone: 7077842271

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.