Active NPI
Tyler J Gambill, BA
- Counselor
- Tulsa, OK
National Provider Identifier
1114674439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 11584
- Practice address
- 7477 E 46TH PL
Tulsa, OK 74145-6305 - Phone
- (918) 384-0002
- NPI assigned
- Mar 7, 2022
- Last updated
- Jul 17, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 11584 | OK | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
7477 E 46TH PL
Tulsa, OK 74145-6305
Mailing address
2112 1/2 E 15TH St
Tulsa, OK 74104-4660
Phone (918) 605-4538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11584 | OK | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Therapeutic Interventions | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Methadone Clinic
- Tulsa, OK
- NPI 1790803286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1114674439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2112 1/2 E 15TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741044660",
"telephone_number": "918-605-4538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7477 E 46TH PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741456305",
"telephone_number": "918-384-0002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBILL",
"first_name": "TYLER",
"middle_name": "J",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-07",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "11584",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.