Active NPI
Tyler J Rine
- Addiction (Substance Use Disorder) Counselor
- Lancaster, OH
National Provider Identifier
1124664768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.183290
- Practice address
- 1434 Collins Rd NW
Lancaster, OH 43130-8815 - Phone
- (614) 704-5690
- NPI assigned
- Nov 19, 2019
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.183290 | OH | Primary |
Addresses
Primary practice location
1434 Collins Rd NW
Lancaster, OH 43130-8815
Mailing address
4214 E Main St
Whitehall, OH 43213-3028
Other practice location 1
221 N Main St
New Lexington, OH 43764-1264
Phone (740) 342-1991
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.183290 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Choices | Current | Accepting new patients |
Locations
221 N Main St
New Lexington, OH 43764
Phone (740) 342-1991
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- New Lexington, OH
- NPI 1457330938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1124664768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4214 E MAIN ST",
"city": "WHITEHALL",
"state": "OH",
"postal_code": "432133028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1434 COLLINS RD NW",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431308815",
"telephone_number": "614-704-5690"
}
],
"practiceLocations": [
{
"address_1": "221 N Main St",
"address_purpose": "LOCATION",
"city": "New Lexington",
"state": "OH",
"postal_code": "437641264",
"country_code": "US",
"telephone_number": "740-342-1991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RINE",
"first_name": "TYLER",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-19",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.183290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.