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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAHEEM TYUS
NPI 1942719174
Counselor - Addiction (Substance Use Disorder) in Mentor, OH

Active since September 20, 2017
9083 MENTOR AVE, MENTOR, OH 44060(440) 255-0678(440) 255-6348 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2026, Sep 20, 2017 (2 updates tracked since 2017).

About Raheem Tyus NPPES

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

RAHEEM TYUS (NPI 1942719174) is an individual addiction (substance use disorder) provider in Mentor, Ohio, licensed in Ohio (164558) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1942719174
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRAHEEM TYUS
Location Address9083 MENTOR AVEMentor, OH 44060-6462
Mailing Address9083 Mentor AveMentor, OH 44060-6462 · (440) 255-0678 · Fax (440) 255-6348
Phone(440) 255-0678
Fax(440) 255-6348
Sole ProprietorYes
Enumeration DateSeptember 20, 2017
Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1942719174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 164558
9083 MENTOR AVE, Mentor, OH 44060
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Other Identifiers 1

Medicaid2374229OH

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.

MR. ANTHONY J. NIKSA LICDC-CS, PC-CR
Counselor (Addiction (Substance Use Disorder))
9083 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 255-0678
LEE SKULLY LISW, LICDC
Counselor (Addiction (Substance Use Disorder))
9083 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 205-2674
JUANITA GARON LPC, LCDC III
Counselor (Addiction (Substance Use Disorder))
9083 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 205-2674
AMY M ZUREN LPC-CR
Counselor (Professional)
9083 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 255-0678
MS. HOLLY JOY CAYIA CT
Counselor (Addiction (Substance Use Disorder))
9083 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 463-6448
MS. PATRICIA A FEENEY LSW
Social Worker
9083 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 255-0678
MICHELLE BERTMAN LSW
Social Worker
9083 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 205-2674
FAITH H LEWIS-FOSTER LISW, LICDC
Counselor (Addiction (Substance Use Disorder))
9083 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 205-2665

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 Raheem Tyus's NPI number?

The NPI number for Raheem Tyus is 1942719174. It was assigned to this individual provider in the NPPES registry on September 20, 2017.

Where is Raheem Tyus located?

Raheem Tyus practices at 9083 Mentor Ave, Mentor, OH 44060. The listed phone number is (440) 255-0678.

What is Raheem Tyus's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Raheem Tyus was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.