Tyler Stull, LCPC CADC
NPI 1407446636 · Professional Counselor · Rockford, IL
Enrolled with Medicare as Order and Referring Only - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyler Stull, LCPC CADC is a Professional Counselor provider in Rockford, IL (NPI 1407446636).
Provider details
- NPI number
- 1407446636
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC CADC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 29194 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2021-01-21
- Last updated
- 2023-10-24
- Certified
- 2023-10-24
Frequently asked questions
- What is Tyler Stull's NPI number?
- Tyler Stull's National Provider Identifier (NPI) is 1407446636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Stull's specialty?
- Tyler Stull is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Tyler Stull located?
- Tyler Stull's practice location on file with NPPES is 1200 W State St, Rockford, IL 61102-2112.
- What is Tyler Stull's phone number?
- The practice phone number listed in the NPPES registry for Tyler Stull is (815) 490-1600.
- Does Tyler Stull accept Medicare?
- Tyler Stull is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tyler Stull's NPI active?
- Yes — Tyler Stull's NPI (1407446636) is active in the NPPES registry as of the last update on 2023-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.