Individual provider Active NPI

Tyler Case, MA, CADC II

  • Mental Health Counselor
  • Salem, OR
National Provider Identifier
1013335256
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C5028 Issued in OR
Practice address
494 State St Ste 270
Salem, OR 97301-3647
Phone
(503) 583-2410
Fax
(503) 689-8097
NPI assigned
Apr 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X OR
Mental Health Counselor 101YM0800X C5028 OR Primary

Addresses

Primary practice location

494 State St Ste 270
Salem, OR 97301-3647

Mailing address

494 State St Ste 270
Salem, OR 97301-3647
Phone (503) 583-2410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250527003043 OR Practitioner - Mental Health Counselor 0941729586 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C5028ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Case Counseling LLC CurrentSince Mar 11, 2025 Accepting new patients
Marion County Past Accepting new patients

Locations

494 State St
Ste 270
Salem, OR 97301
Phone (503) 583-2121

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1013335256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 STATE ST STE 270",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013647",
            "telephone_number": "503-583-2410",
            "fax_number": "503-689-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 STATE ST STE 270",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013647",
            "telephone_number": "503-583-2410",
            "fax_number": "503-689-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE",
        "first_name": "TYLER",
        "credential": "MA, CADC II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-04",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.