Active NPI
Michael Kevin Tyler, M.ED
- Mental Health Counselor
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice & Counseling Services Network, Inc. | Current | Accepting new patients | |
| Family Practice & Counseling Services Network, Inc. | Current | Accepting new patients | |
| Family Practice & Counseling Services Network, Inc. | Current | Accepting new patients | |
| Resources for Human Development, Inc. | Current | Accepting new patients | |
| Eclectic Counseling Therapeutics | Current | Accepting new patients | |
| Family Practice & Counseling Services Network, Inc. | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1043204811
-
dba LMCMS Peer Support
- Community/Behavioral Health Agency
- Bryn Mawr, PA
- NPI 1548395585
-
- Community/Behavioral Health Agency
- Philadelphia, PA
- NPI 1588403653
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1356335129
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1508748369
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1689357782
-
dba East Side Health Center
- Federally Qualified Health Center (FQHC)
- York, PA
- NPI 1306127634
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.