Providers
All 33 in CT
SHAWN TYSON
NPI 1164064044, individual, Hartford, CT, Counselor, Addiction (Substance Use Disorder)
1
Evidence tier
adjudicated in a public enforcement record
- Adjudicated (sentenced, pleaded guilty) per a Department of Justice release dated June 21, 2024.
- No Medicaid payments in the last 12 observed months.
- Medicaid dollars per patient on code 90837 ($761 per patient-month) sit in the top 5% of every provider billing that code.
- 100% of Medicaid dollars are on codes with a history of abuse.
score 96 of 100, rank 62, $0 at stake
Public list actions
OIG exclusion June 18, 2026 under section 1128a1
Ind- Lic HC Serv Pro, Counselor, Ayer, MA
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SHAWN TYSON |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | October 12, 2019, last updated October 12, 2019 |
| Practice location | 330 MAIN ST FL 1, Hartford, CT 06106-1851, 860-778-9078 |
| Mailing address | PO BOX 331271, West Hartford, CT 06133-1271 |
| Specialties | Counselor, Addiction (Substance Use Disorder) (101YA0400X, primary, license 1329 CT) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hourhistory of abuse | $965K | 100% | $761 | $191 (top 5% from $442) | 99th percentile |
In this area
33 providers in Hartford, CT carry an indicator in the public record, with $14.0M at stake between them. The most common is named in an enforcement record, on 11 of them, followed by more hours than a day holds on 10. 11 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MINDS CORNERSTONE LLC Wethersfield, CT, ranked 74 | $721K |
|
| 1 | HELEN ZERVAS Bristol, CT, ranked 112 | $192K |
|
| 1 | SORAYA SAWICKI Avon, CT, ranked 133 | $131K |
|
| 1 | MICHAEL PINES Glastonbury, CT, ranked 444 | $0 |
|
| 1 | THE GEMINI PROJECT, LLC Newington, CT, ranked 446 | $0 |
|
| 1 | COLLABORATIVE COUNSELING CENTER, LLC Hartford, CT, ranked 550 | $0 |
|
| 1 | DONALD SALZBERG West Hartford, CT, ranked 575 | $0 |
|
| 1 | THELMA EPPS Hartford, CT, ranked 584 | $0 |
|
Recent enforcement in CT
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementJun 23, 2026
Connecticut Lab and its Owner Pay Over $145K to Settle Allegations of Medicaid Enrollment Fraud
Coastal Diagnostics and its owner made material misrepresentations in a Connecticut Medicaid Provider Enrollment Application by denying any relationship to another enrolled provider, Genco Lab, and then submitted claims for laboratory services.
DOJPleaded guiltyJun 23, 2026
Middletown Man Pleads Guilty to Operating Unlawful Money Transmitting Business
Habib registered a company and opened a bank account through which fraudulent claims were submitted to Medicare Advantage plans for durable medical equipment, including orthotics and braces, that beneficiaries did not request, consent to, or receive, and he wired proceeds to Pakistan without a money transmitting license.
DOJComplaint filedMay 22, 2026
APRN Charged with Defrauding Connecticut’s Medicaid Program
An APRN was charged with submitting fraudulent Medicaid claims for medication management services that were not provided, including for patients who had stopped seeing her or who were hospitalized, incarcerated, or deceased.
DOJSentencedApr 30, 2026
Cheshire Nurse Who Illegally Distributed Controlled Substances is Sentenced
An Advanced Practice Registered Nurse enrolled as a Medicare and Medicaid provider unlawfully distributed amphetamines and benzodiazepines to individuals without legitimate medical need, charging $200 cash for office visits, and Medicaid paid $287.58 for prescriptions written for an undercover agent.
DOJSentencedFeb 10, 2026
Bloomfield Man Sentenced to Federal Prison for Health Care Fraud
Tyson and Epps submitted fraudulent Medicaid claims for psychotherapy counseling sessions that were not provided, billed under Tyson's provider number for services purportedly provided by the suspended Epps, and Tyson provided fraudulent patient records during a Medicaid audit.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.