Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417514886 Individual Practitioner Female Practitioner

Tye Mitchell

Peer Specialist • Edmond, OK

Professional Overview & Biography Verified Profile Summary

Tye Mitchell is a registered healthcare professional specializing in Peer Specialist in Edmond, OK. Practice services are available at 13707 FAIRHILL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13707 Fairhill Ave

Edmond, OK 730131946

Telephone 4056074041
Associated Practice Facility / Clinic
🏢 Pathways Medical Llc Facility NPI 1194185090

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Edmond, OK

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

Practicing in Edmond, OK (5280 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

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

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

40 Associated Practitioners
NPI 1043093479

Master of Arts, LADCMHCAND

Matthew Hewes

Counselor - Mental Health

NPI 1043862691
Justus Davenport

Counselor - Mental Health

NPI 1053704775
Lv Crutcher

Counselor - Mental Health

NPI 1063922144
Tyra Williams

Counselor

NPI 1093480691
NPI 1093637134

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 21, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2019

Registered at 13707 FAIRHILL AVE, EDMOND, OK 730131946 (Tel: 4056074041)

📍
Updated Business Mailing Address May 21, 2019

Registered at 13707 FAIRHILL AVE, EDMOND, OK 730131946 (Tel: 4056074041)

👤
Provider Name / Credentials Updated May 21, 2019

Recorded as TYE MITCHELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2019

Peer Specialist

🟢
Initial NPI Registration & Enumeration May 21, 2019

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: 1417514886
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2019
Last Update: May 21, 2019
Sole Proprietor: Yes

Mailing Address

13707 Fairhill Ave

Edmond, OK 730131946

Phone: 4056074041

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.