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

Tyler Robertson

Individual provider Professional Counselor · NPI 1194181891

Tyler Robertson is a Mental Health Counselor in Green Bay, Wisconsin. Qualified in 2012, 14 years ago. Practices with Foundations Health and Wholeness Inc, a 9-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2016
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Practice location Address checks out

1039 W Mason St
Green Bay, WI 54303-1842
Phone: (920) 965-7707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5914 (WI)

Record details

NPI number1194181891
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 11, 2016
Last updated in NPPESJanuary 11, 2016

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Foundations Health And Wholeness Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Green Bay