TYLER GEDVILAS – Professional Counselor, NPI 1558731869

TYLER GEDVILAS is a healthcare provider. based in Winfield, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 180012829 (IL). The NPI Number for TYLER GEDVILAS is 1558731869

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
TYLER GEDVILAS
NPI
1558731869
Phone
(630) 293-9860
Address
28W671 Garys Mill Rd
Enumeration Date
29 September 2015
Last Update Date
10 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6302939860
Graduation Year
2016 (10 years ago)
PAC ID
2163956046
Group Practice PAC ID
5294918017
Professional Enrollment ID
I20241114002860
Address ID
IL601901564WI28XXXRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for TYLER GEDVILAS

  • 28W671 Garys Mill Rd

    Winfield, IL 601901564

    Phone: (630) 293-9860

    Fax: (630) 293-9861

    Type: Location

  • 310 E TORRANCE AVE

    PONTIAC, IL 617642748

    Phone: (815) 844-6109

    Type: Mailing

  • 3933 75TH ST STE 102

    AURORA, IL 605048015

    Phone: (630) 293-9860

    Fax: (630) 293-9861

    Type: Location

  • 28W671 GARYS MILL RD

    WINFIELD, IL 601901564

    Phone: (630) 293-9860

    Fax: (630) 293-9861

    Type: Mailing

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: 2024-11-14

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
I20241114002860IMental 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 60190)

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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: 5294918017View full group profile
NameSpecialtyState
Clinical PsychologistIL
Clinical PsychologistIL
Clinical PsychologistIL
Mental Health CounselorIL
Clinical PsychologistIL
Mental Health CounselorIL
Mental Health CounselorIL
Clinical PsychologistCA
Mental Health CounselorIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

Does TYLER GEDVILAS have a public NPI I can cite?
Public records show TYLER GEDVILAS under NPI 1558731869.
Does the public listing show TYLER GEDVILAS as active?
TYLER GEDVILAS's NPI record reflects an active status in NPPES.
Which specialty label fits TYLER GEDVILAS?
NPPES ties TYLER GEDVILAS to Professional Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TYLER GEDVILAS?
TYLER GEDVILAS is associated with Winfield, Illinois in the same public data insurers reference.
Can I export TYLER GEDVILAS's record?
You can download the official NPPES record; we summarize key fields for readability.

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