MS. TRACI JO TYLAR LPC NPI 1053462952

NPI Information

  • NPI: 1053462952
  • Provider Name: MS. TRACI JO TYLAR, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 5016 N. UNIVERSITY ST.
    SUITE 109
    PEORIA, IL
    ZIP 61614
  • Phone: (309) 573-4834

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NPI Details

MS. Traci Jo Tylar, LPC is a professional counselor in Peoria, IL. MS. Traci Jo Tylar, LPC NPI is 1053462952. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5016 N. UNIVERSITY ST.
SUITE 109
PEORIA, IL
ZIP 61614
Phone: (309) 573-4834
Fax: (312) 254-1423

The enumeration date for this NPI number is 1/16/2007 and was last updated on 3/8/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional178004736ILLINOISNo
2101YP2500XCounselorProfessional178994736ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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