Individual provider Active NPI

Tyneah Morris, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • West Carrollton, OH
National Provider Identifier
1184250755
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0029040 Issued in OH
Practice address
3781 W Alex Bell Rd
West Carrollton, OH 45449-1920
Phone
(937) 476-1940
Fax
(937) 915-0450
NPI assigned
Mar 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0029040 OH Primary
Registered Nurse 163W00000X RN.437886 OH

Addresses

Primary practice location

3781 W Alex Bell Rd
West Carrollton, OH 45449-1920

Mailing address

3781 W Alex Bell Rd
West Carrollton, OH 45449-1920
Phone (937) 476-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210901001978 OH Practitioner - Nurse Practitioner 7416353354 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.437886OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Wellness LLC Psychiatric/Mental Health CurrentSince Aug 1, 2023 Accepting new patients
Psychological & Behavioral Consultants, LLC CurrentSince Sep 1, 2021 Accepting new patients
Clean Slate Sober Living PastSince Mar 1, 2020 Accepting new patients

Locations

2900 Presidential Dr
Ste 100
Beavercreek, OH 45324
Phone (513) 741-3100

6601 Centerville Business Pkwy
Ste 310
Dayton, OH 45459
Phone (937) 637-3765

12 W Wenger Rd
Ste J
Englewood, OH 45322
Phone (937) 239-5644

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

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": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1184250755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3781 W ALEX BELL RD",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "454491920",
            "telephone_number": "937-476-1940",
            "fax_number": "937-915-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3781 W ALEX BELL RD",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "454491920",
            "telephone_number": "937-476-1940",
            "fax_number": "937-915-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "TYNEAH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0029040",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.437886",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Carrollton, OH

Sources for this page

Verify at the official NPI Registry.