Tyler Peckham
NPI 1013423367 · Mental Health Counselor · Beavercreek, OH
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyler Peckham is a Mental Health Counselor provider in Beavercreek, OH (NPI 1013423367).
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
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
Mailing address
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
Frequently asked questions
- What is Tyler Peckham's NPI number?
- Tyler Peckham's National Provider Identifier (NPI) is 1013423367, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Peckham's specialty?
- Tyler Peckham is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Tyler Peckham located?
- Tyler Peckham's practice location on file with NPPES is 3359 Kemp Rd Ste 200, Beavercreek, OH 45431-2567.
- What is Tyler Peckham's phone number?
- The practice phone number listed in the NPPES registry for Tyler Peckham is (937) 490-2090.
- Does Tyler Peckham accept Medicare?
- Tyler Peckham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tyler Peckham's NPI active?
- Yes — Tyler Peckham's NPI (1013423367) is active in the NPPES registry as of the last update on 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.