MR. TYLER WILLIAM COON
NPI 1679095525
Counselor - Mental Health in Rochester, NY

Q: What is Tyler Coon's NPI number?

The NPI number for Tyler Coon is 1679095525. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Q: What is Tyler Coon's specialty?

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

Q: Is Tyler Coon enrolled in Medicare?

No. Tyler Coon has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Tyler Coon was last updated on July 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 12, 2017Opted out of Medicare · through Jan 1, 2028

100 PINEWILD DR STE 2A, ROCHESTER, NY 14606(585) 368-6700 Get Directions Write a Review

NPPES record last updated: July 12, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Tyler William Coon NPPES

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

MR. TYLER WILLIAM COON (NPI 1679095525) is an individual mental health provider in Rochester, New York and active in the NPI registry since July 2017. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1679095525

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. TYLER WILLIAM COON

Location Address100 PINEWILD DR STE 2ARochester, NY 14606-4200

Mailing Address47 Faraday StRochester, NY 14610-1701 · (585) 314-0978

Phone(585) 368-6700

Sole ProprietorYes

Enumeration DateJuly 12, 2017

✔ NPI 1679095525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

100 PINEWILD DR STE 2A, Rochester, NY 14606

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Tyler William Coon has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

CHRISTEN NOEL KELLEY MHC

Counselor (Mental Health)