Individual provider Active NPI

Tyler M Breeding

  • Addiction (Substance Use Disorder) Counselor
  • Dayton, OH
National Provider Identifier
1306605233
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCAPRE.195382 Issued in OH
Practice address
660 S Main St
Dayton, OH 45402-2708
Phone
(937) 269-6252
NPI assigned
Mar 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCAPRE.195382 OH Primary
Peer Specialist 175T00000X APS.004700 OH

Addresses

Primary practice location

660 S Main St
Dayton, OH 45402-2708

Mailing address

4998 W Broad St Ste 104
Columbus, OH 43228-1647
Phone (614) 754-8051

Other practice location 1

4998 W Broad St Ste 104
Columbus, OH 43228-1647
Phone (614) 754-8051

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

LicenseStateTypeSpecialty
CDCAPRE.195382OHMDAddiction (Substance Use Disorder) Counselor
APS.004700OHMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1306605233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4998 W BROAD ST STE 104",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281647",
            "telephone_number": "614-754-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022708",
            "telephone_number": "937-269-6252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4998 W Broad St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432281647",
            "country_code": "US",
            "telephone_number": "614-754-8051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREEDING",
        "first_name": "TYLER",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-14",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCAPRE.195382",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.004700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.