1. Home
  2. Directory
  3. Massachusetts
  4. Randolph
  5. Counselor
  6. NPI Profile

TYLER FERGUSON
NPI 1215215504
Counselor - Mental Health in Randolph, MA

Active since August 03, 2011
41 PACELLA PARK DR, RANDOLPH, MA 02368(781) 440-0400 Get Directions Write a Review

NPPES record last updated: August 3, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tyler Ferguson NPPES

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

TYLER FERGUSON (NPI 1215215504) is an individual mental health provider in Randolph, Massachusetts and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1215215504
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTYLER FERGUSON
Location Address41 PACELLA PARK DRRandolph, MA 02368-1755
Mailing Address41 Pacella Park DrRandolph, MA 02368-1755 · (781) 440-0400
Phone(781) 440-0400
Sole ProprietorNo
Enumeration DateAugust 3, 2011
✔ NPI 1215215504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
41 PACELLA PARK DR, Randolph, MA 02368
Open in Google Maps ↗

Other Identifiers 1

Medicaid110026265MA

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.

KAFUNDA BANKS
Counselor (Mental Health)
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
RENE SCHWIESOW
Counselor (Mental Health)
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
SACHA SHAW
Behavior Analyst
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
AAHLIYANAH GONCALVES
Behavior Technician
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
KRISTA G CANON BCBA
Behavior Analyst
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 437-1323
MADELINE MCKEEVER
Counselor (Mental Health)
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
KAYLEIGH SULLIVAN
Behavior Technician
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400
TYANA L ENGLISH-DANIEL
Behavior Technician
41 PACELLA PARK DR
RANDOLPH, MA 02368
Norfolk County (781) 440-0400

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 Tyler Ferguson's NPI number?

The NPI number for Tyler Ferguson is 1215215504. It was assigned to this individual provider in the NPPES registry on August 3, 2011.

Where is Tyler Ferguson located?

Tyler Ferguson practices at 41 Pacella Park Dr, Randolph, MA 02368. The listed phone number is (781) 440-0400.

What is Tyler Ferguson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tyler Ferguson was last updated on August 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.