Ty Lowell Tulloch, LPC, LSOTP

Primary specialty

CounselorTaxonomy code 101Y00000X

License

16848 Issued in TX

Practice address

616 N Main St
Suite 200
Temple, TX 76501-3249

Phone

(254) 773-9984

Fax

(254) 773-7902

NPI assigned

Jul 31, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Timothy J Daheim PA

  • Clinical Psychologist
  • Killeen, TX
  • NPI 1376973321
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184630063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204",
            "address_2": "616 NORTH MAIN STREET",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765030204",
            "telephone_number": "254-773-9984",
            "fax_number": "254-773-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N MAIN ST",
            "address_2": "SUITE 200",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765013249",
            "telephone_number": "254-773-9984",
            "fax_number": "254-773-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLOCH",
        "first_name": "TY",
        "middle_name": "LOWELL",
        "name_prefix": "Mr.",
        "credential": "LPC, LSOTP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "16848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TSP Birth, PLLC
• Ashly Alexandra Tucker, FNP
• Kimberly Tuckness
• Roger D. Tuggle, M.D.
• Syona Tuladhar, DO
• Susan A. Turner
• Tiffany Michelle Turner, PAC
• Mark Grogan Tusa, MD
• Tutor and Ellis PCH
• Tutor Nursing Home, Inc.

• Counselor in Temple, TX
• Providers in Temple, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.