AMY TYLER
NPI 1699135574
Counselor in Canton, OH

Q: What is Amy Tyler's NPI number?

The NPI number for Amy Tyler is 1699135574. It was assigned to this individual provider in the NPPES registry on March 4, 2016.

Q: What is Amy Tyler's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: Is Amy Tyler enrolled in Medicare?

No. Amy Tyler has opted out of Medicare through January 25, 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 Amy Tyler was last updated on September 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 March 04, 2016Opted out of Medicare · through Jan 25, 2028

601 CLEVELAND AVE NW, CANTON, OH 44702(330) 455-0374(330) 453-6716 Get Directions Write a Review

NPPES record last updated: September 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2018, Mar 4, 2016 (2 updates tracked since 2016).

On this page

About Amy Tyler NPPES

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

AMY TYLER (NPI 1699135574) is an individual counselor in Canton, Ohio, licensed in Ohio (C1800909) and active in the NPI registry since March 2016. She has opted out of Medicare through January 25, 2028.

NPPES Registry Identity

NPI1699135574

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameAMY TYLER

Location Address601 CLEVELAND AVE NWCanton, OH 44702-1836

Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0374 · Fax (330) 453-6716

Phone(330) 455-0374

Fax(330) 453-6716

Sole ProprietorNo

Enumeration DateMarch 4, 2016

Last NPPES UpdateSeptember 13, 20182 updates tracked since enumeration

✔ NPI 1699135574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in OH · C1800909

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

601 CLEVELAND AVE NW, Canton, OH 44702

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amy Tyler 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 25, 2024 through January 25, 2028.

Opt-Out Effective DateJanuary 25, 2024

Opt-Out In Effect ThroughJanuary 25, 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.

MORGAN TRUAX

Community Health Worker