Individual provider Active NPI

Tyler James Fletcher, TLMHC

  • Mental Health Counselor
  • Marshalltown, IA
National Provider Identifier
1164239554
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
122904 Issued in IA
Practice address
2501 S Center St
Marshalltown, IA 50158-4562
Phone
(319) 361-6529
NPI assigned
Dec 18, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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 122904 IA Primary

Addresses

Primary practice location

2501 S Center St
Marshalltown, IA 50158-4562

Mailing address

2501 S Center St
Marshalltown, IA 50158-4562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20260224002200 IA Practitioner - Mental Health Counselor 8325534985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Community Services IncGroup PAC ID 1254599731, 13 clinicians

Practice addresses (Care Compare)

1300 Woodland Ave
West Des Moines, IA 50265-2306
Phone (515) 280-3860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
122904IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
United Community Services, Inc. CurrentSince Dec 30, 2025 Accepting new patients
Grace C Mae Advocate Center Mental Health PastSince Dec 22, 2024 Accepting new patients
Grace C Mae Advocate Center, Inc PastSince Jun 13, 2016 Accepting new patients

Locations

813 N Lincoln St
Ste 15
Knoxville, IA 50138
Phone (641) 842-2717

1300 Woodland Ave
West Des Moines, IA 50265

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1164239554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 S CENTER ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 S CENTER ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584562",
            "telephone_number": "319-361-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "credential": "TLMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "122904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

Verify at the official NPI Registry.