THOMAS SHANE TYUS CDCA
NPI 1407386121
Counselor - Addiction (Substance Use Disorder) in Clinton, OH

Active since June 14, 2017
6694 TAYLOR RD, CLINTON, OH 44216(330) 825-5202 Get Directions Write a Review

NPPES record last updated: June 14, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas Shane Tyus Cdca NPPES

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

THOMAS SHANE TYUS CDCA (NPI 1407386121) is an individual addiction (substance use disorder) provider in Clinton, Ohio and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1407386121
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTHOMAS SHANE TYUSCredential: CDCA
Location Address6694 TAYLOR RDClinton, OH 44216-9201
Mailing Address945 Genoa Ave SwMassillon, OH 44646-9425
Sole ProprietorYes
Enumeration DateJune 14, 2017
NPI 1407386121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
6694 TAYLOR RD, Clinton, OH 44216

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.

Counselor (Addiction (Substance Use Disorder))
6694 TAYLOR RD
CLINTON, OH 44216
Licensed Practical Nurse
6694 TAYLOR RD
CLINTON, OH 44216
Clinic/Center (Adult Mental Health)
6694 TAYLOR RD
CLINTON, OH 44216
Counselor (Addiction (Substance Use Disorder))
6694 TAYLOR RD
CLINTON, OH 44216
Licensed Practical Nurse
6694 TAYLOR RD
CLINTON, OH 44216
Family Medicine (Addiction Medicine)
6694 TAYLOR RD
CLINTON, OH 44216
Counselor (Addiction (Substance Use Disorder))
6694 TAYLOR RD
CLINTON, OH 44216
Clinic/Center (Adult Mental Health)
6694 TAYLOR RD
CLINTON, OH 44216

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 Thomas Tyus's NPI number?

The NPI number for Thomas Tyus is 1407386121. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Where is Thomas Tyus located?

Thomas Tyus practices at 6694 Taylor Rd, Clinton, OH 44216. The listed phone number is (330) 825-5202.

What is Thomas Tyus's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Thomas Tyus was last updated on June 14, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.