TYLER ELLIOTT
NPI 1558044321
Counselor in Medina, OH

Q: What is Tyler Elliott's NPI number?

The NPI number for Tyler Elliott is 1558044321. It was assigned to this individual provider in the NPPES registry on August 9, 2023.

Q: What is Tyler Elliott'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 Elliott was last updated on November 13, 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.

Active since August 09, 2023PECOS Enrolled

246 NORTHLAND DR STE 200A, MEDINA, OH 44256(330) 725-9195(330) 725-9187 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2025, Jul 12, 2024, Aug 9, 2023 (3 updates tracked since 2023).

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About Tyler Elliott NPPES

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

TYLER ELLIOTT (NPI 1558044321) is an individual counselor in Medina, Ohio, licensed in Ohio (C.2507280) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Medina.

NPPES Registry Identity

NPI1558044321

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameTYLER ELLIOTT

Location Address246 NORTHLAND DR STE 200AMedina, OH 44256-3440

Mailing Address246 Northland Dr Ste 200aMedina, OH 44256-3440 · (330) 725-9195 · Fax (330) 725-9187

Phone(330) 725-9195

Fax(330) 725-9187

Sole ProprietorYes

Enumeration DateAugust 9, 2023

Last NPPES UpdateNovember 13, 20253 updates tracked since enumeration

NPPES CertifiedNovember 13, 2025

✔ NPI 1558044321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in OH · C.2507280

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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License C.2405853-TRNE (OH)

246 NORTHLAND DR STE 200A, Medina, OH 44256

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Secondary Practice Location 1

Location 1246 Northland Dr Ste 200AMedina, OH 44256-3440 · Phone (330) 725-9195

Other Identifiers 2

Medicaid2910854OH

Medicaid0128769OH

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 Elliott 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.

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.

EMILY HERRICK

Case Manager/Care Coordinator