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TYLER ELLIS
NPI 1649017658
Peer Specialist in Ashland, KY

Active since July 09, 2024
330 25TH ST, ASHLAND, KY 41101(866) 233-1955 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2025, Feb 28, 2025, Jul 9, 2024 (3 updates tracked since 2024).

About Tyler Ellis NPPES

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

TYLER ELLIS (NPI 1649017658) is an individual peer specialist in Ashland, Kentucky, licensed in Kentucky (299696) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1649017658
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameTYLER ELLIS
Location Address330 25TH STAshland, KY 41101-7820
Mailing AddressPo Box 790Ashland, KY 41105-0790 · (063) 298-5886
Phone(866) 233-1955
Sole ProprietorNo
Enumeration DateJuly 9, 2024
Last NPPES UpdateJune 10, 20253 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1649017658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in KY · 299696
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
330 25TH ST, Ashland, KY 41101
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Other Providers at the Same Location NPPES 16

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

TODD GRAY
Peer Specialist
330 25TH ST
ASHLAND, KY 41101
Boyd County (606) 329-8588
TRAE CARVER PSS
Peer Specialist
330 25TH ST
ASHLAND, KY 41101
Boyd County (606) 329-8588
JOSEPH DWAYNE FAIRCHILD LPCC
Counselor (Professional)
330 25TH ST
ASHLAND, KY 41101
Boyd County (606) 329-8588
JAMES CHINN
Community Health Worker
330 25TH ST
ASHLAND, KY 41101
Boyd County (606) 329-8588
TERRI ADKINS LCADC
Counselor (Addiction (Substance Use Disorder))
330 25TH ST
ASHLAND, KY 41101
Boyd County (606) 329-8588
KRISTEN LEIGH THACKER RN
Registered Nurse
330 25TH ST
ASHLAND, KY 41101
Boyd County (066) 329-8588
RACHEL JUDE
Social Worker (Clinical)
330 25TH ST
ASHLAND, KY 41101
Boyd County (606) 329-8588
JEREMIAH JOHNSON
Peer Specialist
330 25TH ST
ASHLAND, KY 41101
Boyd County (606) 329-8588

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 Ellis's NPI number?

The NPI number for Tyler Ellis is 1649017658. It was assigned to this individual provider in the NPPES registry on July 9, 2024.

Where is Tyler Ellis located?

Tyler Ellis practices at 330 25th St, Ashland, KY 41101. The listed phone number is (866) 233-1955.

What is Tyler Ellis's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Tyler Ellis was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.