Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyler Johnson, PEERSUPPORT

Individual provider Peer Specialist · NPI 1790443331

Tyler Johnson, PEERSUPPORT is a Peer Specialist in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2021

Practice location Address checks out

4977 Northcutt Pl
Dayton, OH 45414-3839
Phone: (800) 829-5461
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence APS005364 (OH)

Record details

NPI number1790443331
Entity typeIndividual (Type 1)
GenderMale
Credentials PEERSUPPORT
Sole proprietorYes
NPI enumeratedDecember 1, 2021
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024
Mailing address812 N Main St, Malta, OH 43758-9019

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