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Sandra Lynn Tyler , LPC

Counselor - Professional β€’ Bethany, OK

Active NPI 1679844542 Individual Practitioner Female Practitioner
Practice location in NPPES

3810 N Peniel Ave
Bethany, OK 730083443

Call 4053650243 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

3810 N Peniel Ave

Bethany, OK 730083443

Telephone 4053650243

NPI first issued

2012

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; 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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bethany and Oklahoma

25 active clinicians are listed under Counselor - Professional with a practice address in Bethany, OK (2,550 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bethany

0% of these 25 clinicians have the CMS telehealth indicator.

4% of these 25 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, 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: 2025-09-11
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OK 06540
Counselor

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES OK 6540

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location September 11, 2025

Registered at 3810 N PENIEL AVE, BETHANY, OK 730083443 (Tel: 4053650243)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2025

Counselor (license number reported to NPPES: OK 06540)

πŸ“
Updated Practice Location February 17, 2021

Registered at 6051 N BROOKLINE AVE STE 108, OKLAHOMA CITY, OK 731124286 (Tel: 4056074340)

πŸ‘€
Provider Name / Credentials Updated February 17, 2021

Recorded as SANDRA TYLER, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2021

Counselor (license number reported to NPPES: OK 6540)

βœ…
NPI Profile Active January 24, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 24, 2012

Registered at 2242 NW 39TH ST, OKLAHOMA CITY, OK 731128884 (Tel: 4056023171)

πŸ“
Business Mailing Address (Initial Record) January 24, 2012

Registered at 1404 N MCMILLAN AVE, OKLAHOMA CITY, OK 731273049 (Tel: 4053650243)

πŸ‘€
Provider Name / Credentials (Initial Record) January 24, 2012

Recorded as SANDRA TYLER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2012

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration January 24, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679844542
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2012
Last Update: September 11, 2025
Sole Proprietor: Yes

Mailing Address

1404 N Mcmillan Ave

Oklahoma City, OK 731273049

Phone: 4053650243

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.