TYRON MALLARD (MSW, LMHC, CPC, LPC) – Professional Counselor, NPI 1275909889
Professional Counselor
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TYRON MALLARD (MSW, LMHC, CPC, LPC)
501 N SUNSET LN
RAYMORE, MO 640839402
Phone: (844) 853-8937
Type: Location
6000 LaMar Ave Ste 130
Mission, KS 662023234
Phone: (913) 826-4200
Type: Location
6171 W Charleston Blvd Bldg 10
Las Vegas, NV 891461126
Phone: (702) 486-8187
Type: Location
2001 S JONES BLVD STE J
LAS VEGAS, NV 891463165
Phone: (702) 803-1570
Type: Mailing
6171 W CHARLESTON BLVD BLDG 10
LAS VEGAS, NV 891461126
Phone: (702) 486-8187
Type: Location
1800 COMMUNITY
CLINTON, MO 647358804
Phone: (660) 885-8131
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: 2024-07-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240118002867 | I | Mental Health Counselor | MO | TBD |
| I20240708002681 | I | Mental Health Counselor | NV | TBD |
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.
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 64083)
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