Active NPI
Tyler Melvin, LPC
- Mental Health Counselor
- Evans, GA
National Provider Identifier
1801598958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC013489
- Practice address
- 601 N Belair SQ Ste 28
Evans, GA 30809-4325 - Phone
- (706) 810-2057
- NPI assigned
- Mar 21, 2023
- Last updated
- Mar 21, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC013489 | GA | Primary |
Addresses
Primary practice location
601 N Belair SQ Ste 28
Evans, GA 30809-4325
Mailing address
206 Expedition Dr
North Augusta, SC 29841-2084
Phone (706) 814-8526
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC013489 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augusta Counseling Professionals LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Augusta Counseling Professionals
- Professional Counselor
- Augusta, GA
- NPI 1790146900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1801598958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 EXPEDITION DR",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298412084",
"telephone_number": "706-814-8526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N BELAIR SQ STE 28",
"city": "EVANS",
"state": "GA",
"postal_code": "308094325",
"telephone_number": "706-810-2057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELVIN",
"first_name": "TYLER",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-21",
"last_updated": "2023-03-21",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC013489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evans, GA
- Timothy Edwards Mecredy, M.D.
- Med Now Urgent Care, LLC
- Medequip Health Corp (Medical Center West Compding Lab)
- Crystal Nicole Meeks
- Linda K Meister, D.M.D.
- Christina Lynn Rocker Merchant, OTR/L
- Frederick A. Merrill III, D.O.
- Cheryl Sleister Messick, M.ED., CCC-A
- Carolyn Sylvester Metheny, M.ED.,LPC,NCC,MAC,
- Arlene Meyer
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.