Active NPI
Derek Jamal Tyler Sr.
- Mental Health Counselor
- Virginia Beach, VA
National Provider Identifier
1982513701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0704019489
- Practice address
- 3704 Pacific Ave Ste 300
Virginia Beach, VA 23451-2719 - Phone
- (757) 222-4944
- NPI assigned
- Sep 7, 2026
- Sex
- Male
- Sole proprietor
- No
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 | 0704019489 | VA | Primary |
Addresses
Primary practice location
3704 Pacific Ave Ste 300
Virginia Beach, VA 23451-2719
Mailing address
705 Dissdale LN
Chesapeake, VA 23320-6859
Phone (504) 931-7110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788739200000",
"number": "1982513701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 DISSDALE LN",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233206859",
"telephone_number": "504-931-7110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3704 PACIFIC AVE STE 300",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234512719",
"telephone_number": "757-222-4944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "DEREK",
"middle_name": "JAMAL",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-07",
"last_updated": "2026-09-07",
"certification_date": "2026-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0704019489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.