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TYLER WHITE LPC
NPI 1780427476
Counselor - Mental Health in Milwaukee, WI

Active since June 18, 2024PECOS Enrolled
1432 W FOREST HOME AVE STE 400, MILWAUKEE, WI 53204(414) 567-5400(414) 567-5359 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 27, 2024, Jun 18, 2024 (2 updates tracked since 2024).

About Tyler White Lpc NPPES

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

TYLER WHITE LPC (NPI 1780427476) is an individual mental health provider in Milwaukee, Wisconsin, licensed in Wisconsin (11116-125) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1780427476
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTYLER WHITECredential: LPC
Location Address1432 W FOREST HOME AVE STE 400Milwaukee, WI 53204-3228
Mailing Address10431 W Fairlane AveMilwaukee, WI 53224-2650
Phone(414) 567-5400
Fax(414) 567-5359
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 18, 2024
Last NPPES UpdateJune 27, 20242 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
✔ NPI 1780427476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 11116-125
1432 W FOREST HOME AVE STE 400, Milwaukee, WI 53204
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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 White Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022581644
PECOS Enrollment IDI20260625001540
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 Reassignment

Medicare enrollment records show Tyler White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,266 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Wisconsin enrollment
  • 163 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 5

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

PAIGE BINTZ LCSW
Social Worker (Clinical)
1432 W FOREST HOME AVE STE 400
MILWAUKEE, WI 53204
Milwaukee County (414) 567-5400
MRS. DAYSI JIMENEZ LCSW
Social Worker (Clinical)
1432 W FOREST HOME AVE STE 400
MILWAUKEE, WI 53204
Milwaukee County (414) 292-4242
MARIA TERESA SERNA HERNANDEZ
Social Worker (Clinical)
1432 W FOREST HOME AVE STE 400
MILWAUKEE, WI 53204
Milwaukee County (414) 292-4242
CHINYERE STEVENS MSW, LCSW
Social Worker (Clinical)
1432 W FOREST HOME AVE STE 400
MILWAUKEE, WI 53204
Milwaukee County (414) 567-5400
CHILDREN'S MEDICAL GROUP
Pediatrics
1432 W FOREST HOME AVE STE 400
MILWAUKEE, WI 53204
Milwaukee County (414) 567-5402

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 White's NPI number?

The NPI number for Tyler White is 1780427476. It was assigned to this individual provider in the NPPES registry on June 18, 2024.

Where is Tyler White located?

Tyler White practices at 1432 W Forest Home Ave Ste 400, Milwaukee, WI 53204. The listed phone number is (414) 567-5400.

What is Tyler White's specialty?

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

Is Tyler White enrolled in Medicare?

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

Which organization bills Medicare for Tyler White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler White reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler White accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 1 other insurer list Tyler White 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 White was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.