IndividualActive
Tyler Peckham
NPI 1013423367 · Mental Health Counselor · Beavercreek, OH
Provider details
- NPI number
- 1013423367
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- E.2505064 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3359 Kemp Rd Ste 200
Beavercreek, OH 45431-2567
Phone: (937) 490-2090
Fax: (937) 490-2780
Street-level locationGet directions
Mailing address
303 W Ross St
Troy, OH 45373-3931
Additional practice locations (1)
- 303 W Ross StTroy, OH 45373-3931Phone: (937) 216-9282
Registry dates
- Enumerated
- 2017-12-22
- Last updated
- 2025-10-03
- Certified
- 2025-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.