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TYLER W SECOR LPC
NPI 1740840420
Counselor - Professional in Kenosha, WI

Active since June 16, 2019PECOS Enrolled
4006 WASHINGTON RD, KENOSHA, WI 53144(262) 656-0044(262) 649-1977 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2026, Jun 16, 2019 (2 updates tracked since 2019).

About Tyler W Secor Lpc NPPES

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

TYLER W SECOR LPC (NPI 1740840420) is an individual professional provider in Kenosha, Wisconsin, licensed in Wisconsin (8580125) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1740840420
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTYLER W SECORCredential: LPC
Location Address4006 WASHINGTON RDKenosha, WI 53144-4819
Mailing Address4006 Washington RdKenosha, WI 53144-4819 · (262) 656-0044 · Fax (262) 649-1977
Phone(262) 656-0044
Fax(262) 649-1977
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 16, 2019
Last NPPES UpdateMarch 3, 20262 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1740840420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 8580125
4006 WASHINGTON RD, Kenosha, WI 53144
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler W Secor Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648610345
PECOS Enrollment IDI20240429001583
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 Reassignments

2

Medicare enrollment records show Tyler Secor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kenosha Community Health Center, Inc
Same address
Federally Qualified Health Center (FQHC)
4006 WASHINGTON RD
Kenosha, WI 53144
  • Reassigned Medicare billing, Wisconsin enrollment
  • 24 clinicians in this Medicare group
NPI 1710635677 (262) 656-0044
Alarus Healthcare, LLC
50 mi
Multi-Specialty
1971 WASHINGTON ST, SUITE 200
Grafton, WI 53024
  • Reassigned Medicare billing, Wisconsin enrollment
  • 18 clinicians in this Medicare group
NPI 1457788242 (262) 377-6276

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 15

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

HANNAH DAVIDSON APSW
Social Worker (Clinical)
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 656-0044
VEDRANA JOVKOVIC APNP
Nurse Practitioner (Family)
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 771-1700
LUIS DANIEL RUIZ GONZALEZ RDH
Dental Hygienist
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 771-3553
JAVIER DARIO LUNA BLANCO LPC
Counselor (Professional)
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 771-1700
DR. SACHIN VERMA D.D.S
Dentist
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 656-0044
DR. CODIE JORDAN VASSAR M.D
Psychiatry & Neurology (Psychiatry)
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 656-0044
COURTNEY CHAPLIN RYAN
Behavior Analyst
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 204-5697
DANIELA VILLAGOMEZ RDH
Dental Hygienist
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 771-3558

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 Secor's NPI number?

The NPI number for Tyler Secor is 1740840420. It was assigned to this individual provider in the NPPES registry on June 16, 2019.

Where is Tyler Secor located?

Tyler Secor practices at 4006 Washington Rd, Kenosha, WI 53144. The listed phone number is (262) 656-0044.

What is Tyler Secor's specialty?

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

Is Tyler Secor enrolled in Medicare?

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

Which organizations bill Medicare for Tyler Secor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Secor reassigns Medicare benefits to 2 organizations: Kenosha Community Health Center, Inc (Kenosha, WI) and Alarus Healthcare, LLC (Grafton, WI). Each 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 Secor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Secor accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Dean Health Plan and 1 other insurer list Tyler Secor 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 Secor was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.