| Matthew Tyra, LPC | |
|
33 Varden Dr, Aiken, SC 29803-5285 | |
| (803) 642-3980 | |
| Not Available |
| Full Name | Matthew Tyra |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 10 Years |
| Location | 33 Varden Dr, Aiken, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063085462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 7878 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aiken Psychiatric And Psychotherapy Associates Pa | 1254378128 | 10 |
| Entity Name | Aiken Psychiatric And Psychotherapy Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114995099 PECOS PAC ID: 1254378128 Enrollment ID: O20050412000920 |
| Entity Name | Neighborhood Improvement Project, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215743638 PECOS PAC ID: 7315851078 Enrollment ID: O20250214003435 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Tyra, LPC 33 Varden Dr, Aiken, SC 29803-5285 Ph: (803) 642-3980 | Matthew Tyra, LPC 33 Varden Dr, Aiken, SC 29803-5285 Ph: (803) 642-3980 |
Katrina Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1135 Gregg Hwy Nw, Aiken, SC 29801 Phone: 803-641-7700 | |
Darby A Royal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1135 Gregg Hwy Nw, Aiken, SC 29801 Phone: 803-641-7700 | |
Gabrielle Torres, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1135 Gregg Hwy, Aiken, SC 29801 Phone: 803-641-7700 | |
Toyisha Adams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1135 Gregg Hwy Nw, Aiken, SC 29801 Phone: 803-641-7700 | |
Samantha Tierra Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1135 Gregg Hwy Nw, Aiken, SC 29801 Phone: 803-641-7700 | |
Christy Ann Austin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 156 Charleston Row Blvd, Aiken, SC 29803 Phone: 419-376-6291 |