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TYLEETA J MADISON CDCA
NPI 1164065256
Counselor in Lorain, OH

Active since October 22, 2019
2115 W PARK DR, LORAIN, OH 44053(440) 989-4900(440) 282-4779 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyleeta J Madison Cdca NPPES

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

TYLEETA J MADISON CDCA (NPI 1164065256) is an individual counselor in Lorain, Ohio, licensed in Ohio (CDCA.171102) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1164065256
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTYLEETA J MADISONCredential: CDCA
Location Address2115 W PARK DRLorain, OH 44053-1138
Mailing Address2115 W Park DrLorain, OH 44053-1138 · (440) 989-4900 · Fax (440) 282-4779
Phone(440) 989-4900
Fax(440) 282-4779
Sole ProprietorYes
Enumeration DateOctober 22, 2019
✔ NPI 1164065256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OH · CDCA.171102
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2115 W PARK DR, Lorain, OH 44053
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Other Identifiers 1

OtherCDCA.171102OH · License

Other Providers at the Same Location NPPES 20

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

EMILY WINFIELD OCPSA.161655
Prevention Professional
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 989-4900
RACHEL RUPERT LPN
Licensed Practical Nurse
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 989-4900
KENNEDY FAITH WILBERT CYPS, OCPSA
Prevention Professional
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 989-4900
REBECCA A MANGOL RN
Registered Nurse (Addiction (Substance Use Disorder))
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 989-4900
LAURIE JONES CDCA
Counselor (Addiction (Substance Use Disorder))
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 989-4905
LORAIN COUNTY ALCOHOL & DRUG ABUSE SERVICES, INC.
Community/Behavioral Health
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 282-4777
PAULA LYN MINCH RN
Registered Nurse
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 989-4900
DEREK BENTOFF CDCA
Counselor (Addiction (Substance Use Disorder))
2115 W PARK DR
LORAIN, OH 44053
Lorain County (440) 989-4900

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 Tyleeta Madison's NPI number?

The NPI number for Tyleeta Madison is 1164065256. It was assigned to this individual provider in the NPPES registry on October 22, 2019.

Where is Tyleeta Madison located?

Tyleeta Madison practices at 2115 W Park Dr, Lorain, OH 44053. The listed phone number is (440) 989-4900.

What is Tyleeta Madison's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Tyleeta Madison was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.