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TYRENA DEPP CDCA
NPI 1013554039
Counselor - Addiction (Substance Use Disorder) in Toledo, OH

Active since December 09, 2019
500 MADISON AVE UNIT 5, TOLEDO, OH 43604(419) 690-4544 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 17, 2023, Dec 9, 2019 (2 updates tracked since 2019).

About Tyrena Depp Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYRENA DEPP CDCA (NPI 1013554039) is an individual addiction (substance use disorder) provider in Toledo, Ohio, licensed in Ohio (CDCA.170607) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1013554039
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTYRENA DEPPCredential: CDCA
Location Address500 MADISON AVE UNIT 5Toledo, OH 43604-1222
Mailing Address1409 Slater St Apt 103Toledo, OH 43612-2762 · (419) 380-7690
Phone(419) 690-4544
Sole ProprietorYes
Enumeration DateDecember 9, 2019
Last NPPES UpdateFebruary 17, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2023
✔ NPI 1013554039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.170607
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
500 MADISON AVE UNIT 5, Toledo, OH 43604
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHAUNEY YOUNG
Case Manager/Care Coordinator
500 MADISON AVE UNIT 5
TOLEDO, OH 43604
Lucas County (419) 690-4544
ASIA C WOODSON
Case Manager/Care Coordinator
500 MADISON AVE UNIT 5
TOLEDO, OH 43604
Lucas County (419) 690-4544
MAKENNA RUIZ
Case Manager/Care Coordinator
500 MADISON AVE UNIT 5
TOLEDO, OH 43604
Lucas County (419) 690-4544
DELANO SMITH
Case Manager/Care Coordinator
500 MADISON AVE UNIT 5
TOLEDO, OH 43604
Lucas County (419) 690-4544
RAVEN PEGUESE
Case Manager/Care Coordinator
500 MADISON AVE UNIT 5
TOLEDO, OH 43604
Lucas County (416) 690-4544
JUANITA TISDEL
Case Manager/Care Coordinator
500 MADISON AVE UNIT 5
TOLEDO, OH 43604
Lucas County (260) 644-4736
DEANA GLOVER
Case Manager/Care Coordinator
500 MADISON AVE UNIT 5
TOLEDO, OH 43604
Lucas County No phone listed
SARAH BIGLER
Case Manager/Care Coordinator
500 MADISON AVE UNIT 5
TOLEDO, OH 43604
Lucas County (260) 644-4736

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyrena Depp's NPI number?

The NPI number for Tyrena Depp is 1013554039. It was assigned to this individual provider in the NPPES registry on December 9, 2019.

Where is Tyrena Depp located?

Tyrena Depp practices at 500 Madison Ave Unit 5, Toledo, OH 43604. The listed phone number is (419) 690-4544.

What is Tyrena Depp's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tyrena Depp was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.