MRS. TYLER D THURMAN (LCPC) – Professional Counselor, NPI 1053587279

MRS. TYLER D THURMAN (LCPC) is a healthcare provider. based in Fairview heights, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 180-005914 (IL). The NPI Number for MRS. TYLER D THURMAN (LCPC) is 1053587279

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TYLER D THURMAN (LCPC)
NPI
1053587279
Phone
(618) 207-9685
Address
9 PRIMROSE LN
Enumeration Date
7 May 2008
Last Update Date
12 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6183322740
Graduation Year
2000 (26 years ago)
PAC ID
9234581596
Group Practice PAC ID
1456256874
Professional Enrollment ID
I20240123000984
Address ID
IL622072328CE6000XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for MRS. TYLER D THURMAN (LCPC)

  • 9, Primrose Lane, Union Hill, Fairview Heights, Saint Clair County, Illinois, 62208, United States

    FAIRVIEW HEIGHTS, IL 622082438

    Phone: (618) 207-9685

    Fax: (618) 213-6867

    Type: Mailing

  • 2602, West Boulevard, Belleville, Saint Clair County, Illinois, 62221, United States

    SUITE C

    BELLEVILLE, IL 622215605

    Phone: (618) 207-9685

    Fax: (618) 213-6867

    Type: Location

  • 6000 BOND AVE

    CENTREVILLE, IL 622072328

    Phone: (618) 332-2083

    Fax: (618) 337-6039

    Type: Location

  • 208 W Pointe Dr Ste B

    Swansea, IL 622268302

    Phone: (618) 207-9685

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240123000984IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456256874View full group profile
NameSpecialtyState
-IL
-IL
Family PracticeID
Mental Health CounselorIL
-IL
Family PracticeIL
Nurse PractitionerIL
-IL
Family Practice, Emergency MedicineIL
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. TYLER D THURMAN (LCPC)'s NPI?
Yes. MRS. TYLER D THURMAN (LCPC) is listed with NPI 1053587279 in the public NPI dataset.
Does the file indicate MRS. TYLER D THURMAN (LCPC) is practicing under active NPI?
Directory data currently reports MRS. TYLER D THURMAN (LCPC) as active.
What is MRS. TYLER D THURMAN (LCPC) best known for clinically?
Directory data describes MRS. TYLER D THURMAN (LCPC) with Professional Counselor. Clinical services aligned with this taxonomy classification.
Does MRS. TYLER D THURMAN (LCPC) list a practice location?
Patients near Fairview Heights, Illinois may find MRS. TYLER D THURMAN (LCPC) in results; validate coverage separately.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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