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Tyron Mallard , MSW, LMHC, CPC, LPC

Counselor - Professional β€’ Raymore, MO

Active NPI 1275909889 Individual Practitioner Male Practitioner
Practice location in NPPES

501 N Sunset Ln
Raymore, MO 640839402

Call 8448538937 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

501 N Sunset Ln

Raymore, MO 640839402

Telephone 8448538937
Organization at the Same NPPES Address or Phone
Compass Health, Inc. Facility NPI 1124303698

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Las Vegas, NV; Mission, KS. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Tyron Mallard has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Tyron Mallard as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Raymore and Missouri

37 active clinicians are listed under Counselor - Professional with a practice address in Raymore, MO (5,916 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Raymore

0% of these 37 clinicians have the CMS telehealth indicator.

13.5% of these 37 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-19
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES MO 2023031673
Social Worker

NUCC Taxonomy Code: 104100000X

License # reported to NPPES NV 10247-M

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Social Worker

NUCC Taxonomy Code: 104100000X

License # reported to NPPES KS 12971

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES KS 03303
Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES NV CP0227
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
CP0227 (NV)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240118002867

Enrollment State Jurisdiction

MO

PECOS Control ID

7911359658

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

6000 Lamar Ave Ste 130

Mission, KS 662023234

Phone: 9138264200

6171 W Charleston Blvd Bldg 10

Las Vegas, NV 891461126

Phone: 7024868187

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. Richard Buckles , DO

Internal Medicine

NPI 1023121993

Doctor of Osteopathic Medicine (D.O.)

NPI 1033750070
NPI 1003270851

Master of Arts, LADCS, CPCI, Licensed Professional Counselor

Dr. Megan Stayton , DMD

Dentist - General Practice

NPI 1023708047

Doctor of Dental Medicine

Megan Yonker , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033617790

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

25 Historical Events
🏒
Secondary Practice Location Registered November 19, 2025

Additional practice office at 6171 W Charleston Blvd Bldg 10, Las Vegas, NV 891461126

🏒
Secondary Practice Location Registered November 19, 2025

Additional practice office at 6000 LaMar Ave Ste 130, Mission, KS 662023234

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2025

Counselor (license number reported to NPPES: MO 2023031673)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2024

Counselor (license number reported to NPPES: NV CP0227)

πŸ“
Updated Practice Location August 14, 2023

Registered at 501 N SUNSET LN, RAYMORE, MO 640839402 (Tel: 8448538937)

πŸ“
Updated Business Mailing Address August 14, 2023

Registered at 1800 COMMUNITY, CLINTON, MO 647358804 (Tel: 6608858131)

πŸ‘€
Provider Name / Credentials Updated August 14, 2023

Recorded as TYRON MALLARD, MSW, LMHC, CPC, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2023

Counselor (license number reported to NPPES: KS 03303)

πŸ“
Updated Business Mailing Address May 12, 2020

Registered at 2001 S JONES BLVD STE J, LAS VEGAS, NV 891463165 (Tel: 7028031570)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2020

Counselor (license number reported to NPPES: NV CP0227)

βœ…
NPI Profile Active August 24, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location August 24, 2017

Registered at 6171 W CHARLESTON BLVD BLDG 10, LAS VEGAS, NV 891461126 (Tel: 7024868187)

πŸ“
Updated Business Mailing Address August 24, 2017

Registered at 10151 W DORRELL LN APT 2173, LAS VEGAS, NV 89166 (Tel: 3233597804)

πŸ‘€
Provider Name / Credentials Updated August 24, 2017

Recorded as TYRON MALLARD, MSW, LMHC, CPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2017

Counselor (license number reported to NPPES: WA LH60517759)

πŸ“
Updated Practice Location April 18, 2017

Registered at 122 RAILROAD AVE S, SUITE B, KENT, WA 980325941 (Tel: 7027810649)

πŸ“
Updated Business Mailing Address April 18, 2017

Registered at 443 RAMSAY WAY APT 230, KENT, WA 980325014 (Tel: 3233597804)

πŸ‘€
Provider Name / Credentials Updated April 18, 2017

Recorded as TYRON MALLARD, MSW, LMHC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2017

Social Worker (license number reported to NPPES: WA SA60501432)

βœ…
NPI Profile Active August 19, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 19, 2015

Registered at 6171 W CHARLESTON BLVD, LAS VEGAS, NV 891461126 (Tel: 7023056921)

πŸ“
Business Mailing Address (Initial Record) August 19, 2015

Registered at 6013 SIMONDALE CT, NORTH LAS VEGAS, NV 890813305 (Tel: 3233597804)

πŸ‘€
Provider Name / Credentials (Initial Record) August 19, 2015

Recorded as TYRON MALLARD, MSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2015

Counselor (license number reported to NPPES: WA CO60520799)

🟒
Initial NPI Registration & Enumeration August 18, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1275909889
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2015
Last Update: November 19, 2025
Sole Proprietor: Yes

Mailing Address

1800 Community

Clinton, MO 647358804

Phone: 6608858131

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.