IndividualActive
Tyra Wilson
NPI 1790636306 · Mental Health Counselor · Philadelphia, PA
Tyra Wilson is a Mental Health Counselor provider in Philadelphia, PA (NPI 1790636306).
Provider details
- NPI number
- 1790636306
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% 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
231 W Johnson St Apt 204
Philadelphia, PA 19144-2556
Phone: (215) 478-5549
Fax: (215) 478-5549
Street-level locationGet directions
Mailing address
231 W Johnson St Apt 204
Philadelphia, PA 19144-2556
Additional practice locations (1)
- 717 Bethlehem Pike Ste 310Erdenheim, PA 19038-8120Phone: (267) 331-3178
Registry dates
- Enumerated
- 2026-02-09
- Last updated
- 2026-02-09
- Certified
- 2026-02-09
Frequently asked questions
- What is Tyra Wilson's NPI number?
- Tyra Wilson's National Provider Identifier (NPI) is 1790636306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyra Wilson's specialty?
- Tyra Wilson is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Tyra Wilson located?
- Tyra Wilson's practice location on file with NPPES is 231 W Johnson St Apt 204, Philadelphia, PA 19144-2556.
- What is Tyra Wilson's phone number?
- The practice phone number listed in the NPPES registry for Tyra Wilson is (215) 478-5549.
- Is Tyra Wilson's NPI active?
- Yes — Tyra Wilson's NPI (1790636306) is active in the NPPES registry as of the last update on 2026-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.