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Active NPI 1275909889 Individual Practitioner Male Practitioner

Tyron Mallard , MSW, LMHC, CPC, LPC

Counselor - Professional • Raymore, MO

Professional Overview & Biography Verified Profile Summary

Tyron Mallard, MSW, LMHC, CPC, LPC is a registered healthcare professional specializing in Counselor - Professional in Raymore, MO. Practice services are available at 501 N SUNSET LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

501 N Sunset Ln

Raymore, MO 640839402

Telephone 8448538937
Associated Practice Facility / Clinic
🏢 Compass Health, Inc. Facility NPI 1124303698

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Raymore, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.1 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
35 Specialists

Practicing in Raymore, MO (5929 Statewide)

Telehealth Adoption Rate
2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-19
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MO 2023031673

Definition to come...

Social Worker

NUCC Taxonomy Code: 104100000X

State License 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

State License 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

State License KS 03303

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License NV CP0227

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
CP0227 (NV)

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Charlene Atkins

Counselor - Professional

NPI 1003075482
NPI 1003270851

Master of Arts, LADCS, CPCI, Licensed Professional Counselor

Lindsey Rahe

Counselor - Professional

NPI 1003452186
Kayle Streb , LCSW

Social Worker - Clinical

NPI 1003503467

Licensed Clinical Social Worker

Lindsay Ingram , LPC

Counselor - Professional

NPI 1003527144

Licensed Professional Counselor

Dr. Nikesha Walters , DMD

Dentist - General Practice

NPI 1003545294

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

23 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2025

Counselor (License #2023031673 in MO)

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

Counselor (License #CP0227 in NV)

📍
Updated Practice Location August 14, 2023

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

📍
Updated Business Mailing Address August 14, 2023

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

👤
Provider Name / Credentials Updated August 14, 2023

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

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

Counselor (License #03303 in KS)

📍
Updated Business Mailing Address May 12, 2020

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

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

Counselor (License #CP0227 in NV)

NPI Profile Active August 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2017

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

📍
Updated Business Mailing Address August 24, 2017

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

👤
Provider Name / Credentials Updated August 24, 2017

Recorded as TYRON MALLARD, MSW, LMHC, CPC

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

Counselor (License #LH60517759 in WA)

📍
Updated Practice Location April 18, 2017

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

📍
Updated Business Mailing Address April 18, 2017

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

👤
Provider Name / Credentials Updated April 18, 2017

Recorded as TYRON MALLARD, MSW, LMHC

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

Social Worker (License #SA60501432 in WA)

NPI Profile Active August 19, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 19, 2015

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

📍
Updated Business Mailing Address August 19, 2015

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

👤
Provider Name / Credentials Updated August 19, 2015

Recorded as TYRON MALLARD, MSW

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

Counselor (License #CO60520799 in WA)

🟢
Initial NPI Registration & Enumeration August 18, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.