Tyler D Thurman, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-005914 Issued in IL

Practice address

6000 Bond Ave
Centreville, IL 62207-2328

Phone

(618) 332-2083

Fax

(618) 337-6039

NPI assigned

May 7, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Illinois Healthcare Foundation IncGroup PAC ID 1456256874, 117 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southern Illinois Healthcare Foundation Inc

  • Federally Qualified Health Center (FQHC)
  • Centreville, IL
  • NPI 1609813500
  Medicare reassignment Care Compare group NPD
• Southern Illinois Health Care Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Belleville, IL
  • NPI 1780609578

  Professional

  NPD
• Southern Illinois Healthcare Foundation Inc

  • Federally Qualified Health Center (FQHC)
  • Waterloo, IL
  • NPI 1821813247
  NPD

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1053587279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 BOND AVE",
            "city": "CENTREVILLE",
            "state": "IL",
            "postal_code": "622072328",
            "telephone_number": "618-332-2083",
            "fax_number": "618-337-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 BOND AVE",
            "city": "CENTREVILLE",
            "state": "IL",
            "postal_code": "622072328",
            "telephone_number": "618-332-2083",
            "fax_number": "618-337-6039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 W Pointe Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "IL",
            "postal_code": "622268302",
            "country_code": "US",
            "telephone_number": "618-207-9685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "TYLER",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-005914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Birgit Sterzl, DIETICIAN
• Bonnie J Summers, NP
• Heather Surratt, D.D.S.
• Diana L Swanson, MSN, APRN, WHNP-BC
• Jami Szwargulski, RD, LD
• Transitional Center Inc.
• Danielle Victoria Williams, RD, LDN
• Reginald Patrick Wince Sr., NP-C
• Andrea Wooley
• Jennifer Wuerffel, MS, RD, LDN

• Professional Counselor in Centreville, IL
• Providers in Centreville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.