Look up the most recent NPI and PECOS records

Tyler Maneth

Counselor

Behavioral Health & Social Service Providers

10211 N 32nd St Ste E1, Phoenix, AZ 85028-3845

PECOS Enrollment

Based on the most recent information from CMS, provider Tyler Maneth is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1477438232
Provider Type
Individual
Full Name
Maneth, Tyler
Gender
Male

Sole Proprietor
No
Enumeration Date
8/9/2025
Last Updated
8/9/2025

Contact Information

Practice Location

10211 N 32nd St Ste E1, Phoenix, AZ 85028-3845

(602) 698-5777

Unlisted Fax

Mailing Location

614 S 119th Ave, Avondale, AZ 85323-5716

(602) 717-4678

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Tyler Maneth

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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