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TYLER JOHNSON PEER SUPPORT
NPI 1790443331
Peer Specialist in Dayton, OH

Active since December 01, 2021
4977 NORTHCUTT PL, DAYTON, OH 45414(800) 829-5461 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 3, 2024, Dec 1, 2021 (2 updates tracked since 2021).

About Tyler Johnson Peer Support NPPES

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

TYLER JOHNSON PEER SUPPORT (NPI 1790443331) is an individual peer specialist in Dayton, Ohio, licensed in Ohio (APS005364) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1790443331
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameTYLER JOHNSONCredential: PEER SUPPORT
Location Address4977 NORTHCUTT PLDayton, OH 45414-3839
Mailing Address812 N Main StMalta, OH 43758-9019 · (740) 651-7836
Phone(800) 829-5461
Sole ProprietorYes
Enumeration DateDecember 1, 2021
Last NPPES UpdateSeptember 3, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
✔ NPI 1790443331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OH · APS005364
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.
4977 NORTHCUTT PL, Dayton, OH 45414
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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.

MS. MARSHA T RUSSELL CDCA
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
QUANICE LOCKE LCDCII
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 450-7790
JEWELIA ELLIS RN
Registered Nurse (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (800) 829-5461
BETHANY DAWN GIBSON
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
MRS. SEMAJA BRENT
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
JILL GINTER CDCA
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
PATRICIA CLARK CDCA
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (800) 829-5461
BLAINE ROWE PEER SUPPORT
Peer Specialist
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (800) 829-5461

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 Johnson's NPI number?

The NPI number for Tyler Johnson is 1790443331. It was assigned to this individual provider in the NPPES registry on December 1, 2021.

Where is Tyler Johnson located?

Tyler Johnson practices at 4977 Northcutt Pl, Dayton, OH 45414. The listed phone number is (800) 829-5461.

What is Tyler Johnson'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 Johnson was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.