TYLER MINK MA, LPC
NPI 1639726524
Counselor - Professional in Grand Rapids, MI

Active since August 25, 2019PECOS Enrolled
678 FRONT AVE NW STE 100, GRAND RAPIDS, MI 49504(616) 916-3711 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2022, Aug 25, 2019 (2 updates tracked since 2019).

About Tyler Mink Ma, Lpc NPPES

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

TYLER MINK MA, LPC (NPI 1639726524) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401020298) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1639726524
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTYLER MINKCredential: MA, LPC
Location Address678 FRONT AVE NW STE 100Grand Rapids, MI 49504-5323
Mailing Address678 Front Ave NwGrand Rapids, MI 49504-5325 · (616) 916-3711
Sole ProprietorNo
Enumeration DateAugust 25, 2019
Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
NPI 1639726524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MI · 6401020298
Also ListedCounselorTaxonomy 101Y00000X · License 6401020298 (MI)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6401020298 (MI)
678 FRONT AVE NW STE 100, Grand Rapids, MI 49504

Secondary Practice Location 1

Location 13800 Lake Michigan Dr NW Ste 103Grand Rapids, MI 49534-4583 · Phone (616) 805-3660

Accepted Insurance

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 Mink Ma, Lpc 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 11

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

Social Worker
678 FRONT AVE NW STE 100
GRAND RAPIDS, MI 49504
Counselor (Professional)
678 FRONT AVE NW STE 100
GRAND RAPIDS, MI 49504
Social Worker (Clinical)
678 FRONT AVE NW STE 100
GRAND RAPIDS, MI 49504
Counselor (Mental Health)
678 FRONT AVE NW STE 100
GRAND RAPIDS, MI 49504
Social Worker (Clinical)
678 FRONT AVE NW STE 100
GRAND RAPIDS, MI 49504
Counselor
678 FRONT AVE NW STE 100
GRAND RAPIDS, MI 49504
Counselor (Mental Health)
678 FRONT AVE NW STE 100
GRAND RAPIDS, MI 49504
Social Worker (Clinical)
678 FRONT AVE NW STE 100
GRAND RAPIDS, MI 49504

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 Mink's NPI number?

The NPI number for Tyler Mink is 1639726524. It was assigned to this individual provider in the NPPES registry on August 25, 2019.

Where is Tyler Mink located?

Tyler Mink practices at 678 Front Ave NW Ste 100, Grand Rapids, MI 49504. The listed phone number is (616) 916-3711.

What is Tyler Mink's specialty?

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

Is Tyler Mink enrolled in Medicare?

Yes. Tyler Mink is registered in the Medicare PECOS enrollment system.

What insurance does Tyler Mink accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 2 other insurers list Tyler Mink 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 Mink was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.