Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TYLER PURYEAR
NPI 1609527365
Counselor - Mental Health in Philadelphia, PA

Active since January 14, 2022PECOS EnrolledAccepts Medicare Assignment
4058 CONSHOHOCKEN AVE # A38, PHILADELPHIA, PA 19131(240) 446-1584 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 28, 2026, Jan 14, 2022 (2 updates tracked since 2022).

About Tyler Puryear NPPES

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

TYLER PURYEAR (NPI 1609527365) is an individual mental health provider in Philadelphia, Pennsylvania and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2021).

NPPES Registry Identity

NPI1609527365
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTYLER PURYEAR
Location Address4058 CONSHOHOCKEN AVE # A38Philadelphia, PA 19131-2826
Mailing Address4058 Conshohocken Ave # A38Philadelphia, PA 19131-2826 · (401) 633-2929
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2021
Enumeration DateJanuary 14, 2022
Last NPPES UpdateAugust 28, 20262 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1609527365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4058 CONSHOHOCKEN AVE # A38, Philadelphia, PA 19131

Accepted Insurance

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 Puryear 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 ID6507307915
PECOS Enrollment IDI20240925000171
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 Puryear reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
194 WATERMAN ST
Providence, RI 02906
  • Reassigned Medicare billing, Rhode Island enrollment
  • 10 clinicians in this Medicare group

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.

Counselor (Mental Health)
4058 CONSHOHOCKEN AVE # A38
PHILADELPHIA, PA 19131

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 Puryear's NPI number?

The NPI number for Tyler Puryear is 1609527365. It was assigned to this individual provider in the NPPES registry on January 14, 2022.

Where is Tyler Puryear located?

Tyler Puryear practices at 4058 Conshohocken Ave # A38, Philadelphia, PA 19131. The listed phone number is (240) 446-1584.

What is Tyler Puryear's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tyler Puryear enrolled in Medicare?

Yes. Tyler Puryear 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 Puryear's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Puryear reassigns Medicare benefits to Me Psychotherapy, LLC (Providence, RI). 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 Puryear's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Puryear accept?

Health plans from Harvard Pilgrim Health Care list Tyler Puryear as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Puryear was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.