TYLER BROOKS KEZIAH LPC, LCAS, CSI
NPI 1376860643
Counselor in Asheboro, NC

Q: What is Tyler Keziah's NPI number?

The NPI number for Tyler Keziah is 1376860643. It was assigned to this individual provider in the NPPES registry on April 27, 2010.

Q: What is Tyler Keziah's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tyler Keziah was last updated on May 9, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 27, 2010PECOS Enrolled

110 W WALKER AVE, ASHEBORO, NC 27203(336) 633-7000(336) 625-3817 Get Directions Write a Review

NPPES record last updated: May 9, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tyler Brooks Keziah Lpc, Lcas, Csi NPPES

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

TYLER BROOKS KEZIAH LPC, LCAS, CSI (NPI 1376860643) is an individual counselor in Asheboro, North Carolina, licensed in North Carolina (7792) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376860643

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameTYLER BROOKS KEZIAHCredential: LPC, LCAS, CSI

Location Address110 W WALKER AVEAsheboro, NC 27203-6760

Mailing Address284 Executive Park Dr, Suite 100Concord, NC 28025-1831 · (704) 939-1100 · Fax (704) 939-1173

Phone(336) 633-7000

Fax(336) 625-3817

Sole ProprietorNo

Enumeration DateApril 27, 2010

Last NPPES UpdateMay 9, 2017

✔ NPI 1376860643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in NC · 7792

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1889 (NC)

110 W WALKER AVE, Asheboro, NC 27203

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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)

Tyler Brooks Keziah Lpc, Lcas, Csi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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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.

DANIELLE YVONNE FAY

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