Tyler Lennon, CADC, B.S.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15084 Issued in IA

Practice address

726 S 17TH St
Fort Dodge, IA 50501-5344

Phone

(515) 576-7261

Fax

(515) 955-7628

NPI assigned

Oct 20, 2015

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

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1750753539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 11TH ST",
            "city": "MANSON",
            "state": "IA",
            "postal_code": "505635026",
            "telephone_number": "515-571-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 S 17TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015344",
            "telephone_number": "515-576-7261",
            "fax_number": "515-955-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNON",
        "first_name": "TYLER",
        "name_prefix": "Mr.",
        "credential": "CADC, B.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "15084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sang O Lee, M.D
• Xieng Khan Lee, D.D.S.
• Alexandria Leffler, LMHC
• Ronald Lemond
• Patrick A Lenane, O.D.
• Libby Rae Lentsch
• Leopoldo E Delucca MD PC
• Madison Leyk, DPM
• Emile C Li, M.D.
• Shelby Marie Lietz, ARNP

• Addiction (Substance Use Disorder) Counselor in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Addiction (Substance Use Disorder) Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.