TYRON MALLARD MSW, LMHC, CPC, LPC
NPI 1275909889
Counselor - Professional in Raymore, MO
About Tyron Mallard Msw, Lmhc, Cpc, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYRON MALLARD MSW, LMHC, CPC, LPC (NPI 1275909889) is an individual professional provider in Raymore, Missouri, licensed in Missouri (2023031673) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tyron Mallard Msw, Lmhc, Cpc, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Tyron Mallard's NPI number?
The NPI number for Tyron Mallard is 1275909889. It was assigned to this individual provider in the NPPES registry on August 18, 2015.
Where is Tyron Mallard located?
Tyron Mallard practices at 501 N Sunset Ln, Raymore, MO 64083. The listed phone number is (844) 853-8937.
What is Tyron Mallard's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Tyron Mallard enrolled in Medicare?
Yes. Tyron Mallard is registered in the Medicare PECOS enrollment system.
What insurance does Tyron Mallard accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica, Oscar Insurance Company and Providence Health Plan and 1 other insurer list Tyron Mallard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tyron Mallard was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Tyron Mallard, MSW, LMHC, CPC, LPC · NPI 1275909889
Professional provider in Raymore, Missouri. Individual provider, active in the CMS NPPES registry since August 18, 2015.
## Identity
- **NPI:** 1275909889 (Entity type: Individual)
- **Enumerated:** August 18, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2023031673 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 501 N SUNSET LN, Raymore, MO 64083-9402
- **Phone:** (844) 853-8937
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** November 19, 2025
- **Other identifiers:** Medicaid CP0227 (NV)
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Source: [NPI Profile](https://npiprofile.com/npi/1275909889) · Data from the CMS NPPES public registry.