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JORDAN TYLER
NPI 1336090802
Community/Behavioral Health in Gastonia, NC

Active since February 09, 2026
4200 EVEREST DR, GASTONIA, NC 28054(202) 558-8223 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan Tyler NPPES

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

JORDAN TYLER (NPI 1336090802) is an individual community/behavioral health provider in Gastonia, North Carolina and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1336090802
Entity TypeIndividualMale
Primary Taxonomy251S00000X
Provider Legal NameJORDAN TYLER
Location Address4200 EVEREST DRGastonia, NC 28054-0004
Mailing Address4200 Everest DrGastonia, NC 28054-0004 · (202) 558-8223
Phone(202) 558-8223
Sole ProprietorYes
Enumeration DateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
✔ NPI 1336090802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4200 EVEREST DR, Gastonia, NC 28054
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Other Providers at the Same Location NPPES

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

FAMILY CRISIS SUPPORT
Community/Behavioral Health
4200 EVEREST DR
GASTONIA, NC 28054
Gaston County (704) 616-8648

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 Jordan Tyler's NPI number?

The NPI number for Jordan Tyler is 1336090802. It was assigned to this individual provider in the NPPES registry on February 9, 2026.

Where is Jordan Tyler located?

Jordan Tyler practices at 4200 Everest Dr, Gastonia, NC 28054. The listed phone number is (202) 558-8223.

What is Jordan Tyler's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Jordan Tyler was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.