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Active NPI 1184630063 Individual Practitioner Male Practitioner

Ty Lowell Tulloch , LPC, LSOTP

Counselor • Temple, TX

Professional Overview & Biography Verified Profile Summary

Ty Tulloch, LPC, LSOTP is a registered healthcare professional specializing in Counselor in Temple, TX. Practice services are available at 616 N MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

616 N Main St
Suite 200

Temple, TX 765013249

Telephone 2547739984
Fax 2547737902
Associated Practice Facility / Clinic
🏢 Timothy J Daheim Pa Facility NPI 1376973321

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Temple, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Temple, TX (3454 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License TX 16848

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Sheila Berning , MSW, LCSW

Social Worker - Clinical

NPI 1679523211

Master of Social Work, Licensed Clinical Social Worker

Melee Munoz , LPC

Counselor - Professional

NPI 1700036282

Licensed Professional Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 616 N MAIN ST, SUITE 200, TEMPLE, TX 765013249 (Tel: 2547739984)

📍
Updated Business Mailing Address July 09, 2007

Registered at PO BOX 204, 616 NORTH MAIN STREET, TEMPLE, TX 765030204 (Tel: 2547739984)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as TY TULLOCH, LPC, LSOTP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Counselor (License #16848 in TX)

🟢
Initial NPI Registration & Enumeration July 31, 2006

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: 1184630063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

Po Box 204, 616 North Main Street

Temple, TX 765030204

Phone: 2547739984

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.