Jessica Melendez Tyler, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC009063 Issued in GA

Practice address

1214 1St Ave Ste 270
Columbus, GA 31901-4276

Phone

(706) 566-0000

NPI assigned

Feb 4, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Wandering Mind LLC

  • Mental Health Counselor
  • Columbus, GA
  • NPI 1588133607
  NPD (past) Authorized official

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546646400000",
    "number": "1225428709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 1ST AVE STE 270",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319014276",
            "telephone_number": "706-887-6464",
            "fax_number": "706-887-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 1ST AVE STE 270",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319014276",
            "telephone_number": "706-566-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2506 Lambert Dr",
            "address_purpose": "LOCATION",
            "city": "Opelika",
            "state": "AL",
            "postal_code": "368017237",
            "country_code": "US",
            "telephone_number": "334-742-2700",
            "fax_number": "334-742-2840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "233 12th St Ste 334",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319012462",
            "country_code": "US",
            "telephone_number": "706-225-0322",
            "fax_number": "706-225-0321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYLER",
        "first_name": "JESSICA",
        "middle_name": "MELENDEZ",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2019-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3118",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC009063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William W Turton Jr., MD
• Zacchary Tutor
• Twiilight Dental
• Twiilight Dental Care,LLC
• Twiilight Dental Care,LLC
• Carol J Tyson
• Kia Tyson, BCBA
• Porsha Tyson, RN
• Amaka Cynthia Ugoh, MD
• Ana Ulloa, RD, LD

• Mental Health Counselor in Columbus, GA
• Providers in Columbus, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2019; 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.