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TYLER GEDVILAS
NPI 1558731869
Counselor - Professional in Aurora, IL

Active since September 29, 2015PECOS EnrolledAccepts Medicare Assignment
3933 75TH ST STE 102, AURORA, IL 60504(630) 293-9860(630) 293-9861 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 10, 2022, Jul 13, 2021, Jul 7, 2021 and 2 more (5 updates tracked since 2015).

About Tyler Gedvilas NPPES

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

TYLER GEDVILAS (NPI 1558731869) is an individual professional provider in Aurora, Illinois, licensed in Illinois (180012829) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Winfield, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1558731869
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTYLER GEDVILAS
Location Address3933 75TH ST STE 102Aurora, IL 60504-8015
Mailing Address28w671 Garys Mill RdWinfield, IL 60190-1564 · (630) 293-9860 · Fax (630) 293-9861
Phone(630) 293-9860
Fax(630) 293-9861
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 29, 2015
Last NPPES UpdateFebruary 10, 20225 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
✔ NPI 1558731869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180012829
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3933 75TH ST STE 102, Aurora, IL 60504
Open in Google Maps ↗

Secondary Practice Location 1

Location 128W671 Garys Mill RdWinfield, IL 60190-1564 · Phone (630) 293-9860 · Fax (630) 293-9861

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyler Gedvilas 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 ID2163956046
PECOS Enrollment IDI20241114002860
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.

Medicare Billing Reassignment

Medicare enrollment records show Tyler Gedvilas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pathways Psychology Services P.C.
8.0 mi
Clinical
28W671 GARYS MILL ROAD
Winfield, IL 60190
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Pathways Psychology Services PC
  • 19 clinicians in this Medicare group
NPI 1942485198 (630) 293-9860

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

MORGAN NICOLE HULOCK LPC
Counselor (Professional)
3933 75TH ST STE 102
AURORA, IL 60504
Dupage County (630) 293-9860

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 Gedvilas's NPI number?

The NPI number for Tyler Gedvilas is 1558731869. It was assigned to this individual provider in the NPPES registry on September 29, 2015.

Where is Tyler Gedvilas located?

Tyler Gedvilas practices at 3933 75th St Ste 102, Aurora, IL 60504. The listed phone number is (630) 293-9860.

What is Tyler Gedvilas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tyler Gedvilas enrolled in Medicare?

Yes. Tyler Gedvilas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tyler Gedvilas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Gedvilas reassigns Medicare benefits to Pathways Psychology Services P.C. (Winfield, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyler Gedvilas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tyler Gedvilas was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.