Individual provider Active NPI

Michael Kevin Tyler, M.ED

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1093432304
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1346 N 27TH St FL 3
Philadelphia, PA 19121-4672
Phone
(347) 479-9333
NPI assigned
Oct 26, 2022
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1346 N 27TH St FL 3
Philadelphia, PA 19121-4672

Mailing address

1346 N 27TH St FL 3
Philadelphia, PA 19121-4672
Phone (347) 479-9333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250522000685 PA Practitioner - Mental Health Counselor 7719406875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

4700 Wissahickon Ave
Suite 118
Philadelphia, PA 19144-4248
Phone (267) 597-3600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice & Counseling Services Network, Inc. Current Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Feb 23, 2025 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Jul 4, 2025 Accepting new patients
Resources for Human Development, Inc. Current Accepting new patients
Eclectic Counseling Therapeutics CurrentSince May 26, 2024 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Feb 23, 2025 Accepting new patients
Resources for Human Development, Inc. Past Accepting new patients

Locations

2300 W Master St
Philadelphia, PA 19121
Phone (267) 687-1172

4700 Wissahickon Ave
Bldg D
Philadelphia, PA 19144
Phone (215) 843-9720

4700 Wissahickon Ave
Ste 118
Philadelphia, PA 19144
Phone 26759736006771

4700 Wissahickon Ave
Ste 119
Philadelphia, PA 19144
Phone 2158439720 ext. 3640

6120 Woodland Ave
Fl The
Philadelphia, PA 19142
Phone (215) 727-4721

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1093432304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 N 27TH ST FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191214672",
            "telephone_number": "347-479-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 N 27TH ST FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191214672",
            "telephone_number": "347-479-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "MICHAEL",
        "middle_name": "KEVIN",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.