TYLER WHITTAKER
NPI 1396110615
Counselor in Moroni, UT

Active since December 11, 2015
2860 E 19500 N, MORONI, UT 84646(435) 436-9029(435) 436-9027 Get Directions Write a Review

NPPES record last updated: December 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyler Whittaker NPPES

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

TYLER WHITTAKER (NPI 1396110615) is an individual counselor in Moroni, Utah and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1396110615
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameTYLER WHITTAKER
Location Address2860 E 19500 NMoroni, UT 84646
Mailing AddressPo Box 461Moroni, UT 84646-0461 · (435) 445-5200 · Fax (435) 445-5201
Fax(435) 436-9027
Sole ProprietorNo
Enumeration DateDecember 11, 2015
NPI 1396110615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
2860 E 19500 N, Moroni, UT 84646

Other Identifiers 1

Medicaid1235458555UT

Other Providers at the Same Location NPPES 5

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

Counselor
2860 E 19500 N
MORONI, UT 84646
Counselor
2860 E 19500 N
MORONI, UT 84646
Counselor
2860 E 19500 N
MORONI, UT 84646
Counselor
2860 E 19500 N
MORONI, UT 84646
Substance Abuse Rehabilitation Facility
2860 E 19500 N
MORONI, UT 84646

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 Whittaker's NPI number?

The NPI number for Tyler Whittaker is 1396110615. It was assigned to this individual provider in the NPPES registry on December 11, 2015.

Where is Tyler Whittaker located?

Tyler Whittaker practices at 2860 E 19500 N, Moroni, UT 84646. The listed phone number is (435) 436-9029.

What is Tyler Whittaker'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 Tyler Whittaker was last updated on December 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.