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

Individual provider Mental Health Counselor · NPI 1033870308

Tyler Kackley, LPCMH is a Mental Health Counselor in Middletown, Delaware. Qualified in 2017, 9 years ago. Practices with Mid-Atlantic Behavioral Health, LLC, a 84-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Delaware.

Years since qualifying
9
Licensed in
DE
In the registry since
2022
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Practice location Address checks out

735 Mapleton Ave Ste 200
Middletown, DE 19709-1560
Phone: (302) 224-1400
Fax: (302) 224-1402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence PC-0011149 (DE)

Record details

NPI number1033870308
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCMH
Sole proprietorNo
NPI enumeratedJanuary 7, 2022
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 31, 2024
Mailing address910 S Chapel St Ste 102, Newark, DE 19713-3468

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mid-Atlantic Behavioral Health, Llc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Middletown