Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831998764 Individual Practitioner Male Practitioner

Tyler Mallory , CPS, CHW-C

Peer Specialist • Salisbury, MO

Professional Overview & Biography Verified Profile Summary

Tyler Mallory, CPS, CHW-C is a registered healthcare professional specializing in Peer Specialist in Salisbury, MO. Practice services are available at 105 S WEBER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

105 S Weber Ave

Salisbury, MO 652811071

Telephone 6603385001
Associated Practice Facility / Clinic
🏢 Root Awakening Llc Facility NPI 1629801899

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Salisbury, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Salisbury, MO (188 Statewide)

Telehealth Adoption Rate
0.0% 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: 2025-03-12
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License MO 17723

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Lindsey Allen , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1568171601

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 12, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location March 12, 2025

Registered at 105 S WEBER AVE, SALISBURY, MO 652811071 (Tel: 6603385001)

📍
Updated Business Mailing Address March 12, 2025

Registered at 102 W HILL ST, HUNTSVILLE, MO 652591197 (Tel: 6606519102)

👤
Provider Name / Credentials Updated March 12, 2025

Recorded as TYLER MALLORY, CPS,CHW-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2025

Peer Specialist (License #17723 in MO)

🟢
Initial NPI Registration & Enumeration March 12, 2025

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: 1831998764
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2025
Last Update: March 12, 2025
Sole Proprietor: Yes

Mailing Address

102 W Hill St

Huntsville, MO 652591197

Phone: 6606519102

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.