MRS. JONNA LYNN TYLER LCPC RPTS
NPI 1558464164
Counselor in Peoria, IL

Q: What is Jonna Tyler's NPI number?

The NPI number for Jonna Tyler is 1558464164. It was assigned to this individual provider in the NPPES registry on September 7, 2006. The provider is also known as Mrs. Jonna Lynn Discoe.

Q: What is Jonna Tyler'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 Jonna Tyler was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 September 07, 2006PECOS EnrolledAccepts Medicare Assignment

6615 N BIG HOLLOW RD, PEORIA, IL 61615(309) 692-6622(309) 692-6952 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 3, 2024, Aug 7, 2024 (2 updates tracked since 2024).

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About Mrs. Jonna Lynn Tyler Lcpc Rpts NPPES

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

MRS. JONNA LYNN TYLER LCPC RPTS (NPI 1558464164) is an individual counselor in Peoria, Illinois, licensed in Illinois (180002332) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1558464164

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. JONNA LYNN TYLERCredential: LCPC RPTS

Location Address6615 N BIG HOLLOW RDPeoria, IL 61615-2451

Mailing Address6615 N Big Hollow RdPeoria, IL 61615-2451 · (309) 692-6622 · Fax (309) 692-6952

Phone(309) 692-6622

Fax(309) 692-6952

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateSeptember 7, 2006

Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration

NPPES CertifiedOctober 3, 2024

✔ NPI 1558464164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in IL · 180002332

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.

6615 N BIG HOLLOW RD, Peoria, IL 61615

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Other Names 1

Other Name (5)Mrs. Jonna Lynn Discoe

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jonna Lynn Tyler Lcpc Rpts is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456599414

PECOS Enrollment IDI20250715003291

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.

KEVIN SISCOE LCPC

Counselor (Professional)