Individual provider Active NPI

Tyler L Ryan, LPC-C

  • Mental Health Counselor
  • Tulsa, OK
National Provider Identifier
1639625650
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8810 S Yale Ave
Tulsa, OK 74137-3551
Phone
(918) 212-8064
NPI assigned
Aug 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-76312 OK
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

8810 S Yale Ave
Tulsa, OK 74137-3551

Mailing address

3703 W 109TH St S
Jenks, OK 74037-1817
Phone (918) 636-8896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20250731002757 OK Practitioner - Mental Health Counselor 7911415005 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RBT-19-76312OKMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Chris King Counseling Services LLC CurrentSince Jul 21, 2025 Accepting new patients

Locations

8810 S Yale Ave
Tulsa, OK 74137
Phone (918) 212-8064

8810 S Yale Ave
Ste B
Tulsa, OK 74137
Phone (918) 760-5243

8810 S Yale Ave
Ste K
Tulsa, OK 74137
Phone (918) 760-5243

Organizations & group practices 1

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": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1639625650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 W 109TH ST S",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740371817",
            "telephone_number": "918-636-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373551",
            "telephone_number": "918-212-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "TYLER",
        "middle_name": "L",
        "credential": "LPC-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-30",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "RBT-19-76312",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.