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TYERA NICOLE GODFREY
NPI 1871083246
Counselor - Mental Health in Malden, MA

Active since May 11, 2018
12 PERKINS AVE, MALDEN, MA 02148(781) 630-3254 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, May 11, 2018 (2 updates tracked since 2018).

About Tyera Nicole Godfrey NPPES

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

TYERA NICOLE GODFREY (NPI 1871083246) is an individual mental health provider in Malden, Massachusetts and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1871083246
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTYERA NICOLE GODFREY
Location Address12 PERKINS AVEMalden, MA 02148-7502
Mailing Address11 Bay State AveTewksbury, MA 01876-3305
Phone(781) 630-3254
Sole ProprietorYes
Enumeration DateMay 11, 2018
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1871083246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
12 PERKINS AVE, Malden, MA 02148
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Other Identifiers 2

Medicaid6584664000MA
Medicaid1125488448MA

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 Tyera Godfrey's NPI number?

The NPI number for Tyera Godfrey is 1871083246. It was assigned to this individual provider in the NPPES registry on May 11, 2018.

Where is Tyera Godfrey located?

Tyera Godfrey practices at 12 Perkins Ave, Malden, MA 02148. The listed phone number is (781) 630-3254.

What is Tyera Godfrey's specialty?

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

When was this NPI record last updated?

The NPPES record for Tyera Godfrey was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.