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EVAN TYLER
NPI 1184588972
Counselor - Mental Health in Forest, VA

Active since December 15, 2025PECOS Enrolled
1075 LIGHT BLVD, FOREST, VA 24551(434) 384-1594 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Evan Tyler NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN TYLER (NPI 1184588972) is an individual mental health provider in Forest, Virginia, licensed in Virginia (0704015637) and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1184588972
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEVAN TYLER
Location Address1075 LIGHT BLVDForest, VA 24551-5094
Mailing Address2121 Langhorne Rd Apt 1204Lynchburg, VA 24501-1416 · (434) 384-1594
Phone(434) 384-1594
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 15, 2025
NPPES CertifiedDecember 15, 2025
✔ NPI 1184588972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VA · 0704015637
1075 LIGHT BLVD, Forest, VA 24551
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Tyler is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587121199
PECOS Enrollment IDI20260804001862
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Evan Tyler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Light Counseling, Inc.
9.6 mi
Professional
1075 LIGHT BLVD
Forest, VA 24551
  • Reassigned Medicare billing, Virginia enrollment
  • 31 clinicians in this Medicare group
NPI 1154422764 (434) 384-1594

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DESTINI GRAY
Counselor (Professional)
1075 LIGHT BLVD
FOREST, VA 24551
Bedford County (434) 384-1594
AMANDA HESLOP
Counselor (Mental Health)
1075 LIGHT BLVD
FOREST, VA 24551
Bedford County (434) 384-1594
ARPENIK STEPANYAN
Counselor (Professional)
1075 LIGHT BLVD
FOREST, VA 24551
Bedford County (832) 794-0515
LIGHT COUNSELING, INC.
Counselor (Professional)
1075 LIGHT BLVD
FOREST, VA 24551
Bedford County (434) 384-1594
JONATHAN D. DURST LPC, LMHC
Counselor (Mental Health)
1075 LIGHT BLVD
FOREST, VA 24551
Bedford County (434) 384-1594
ALYSSA JOY PENROD LMFT
Marriage & Family Therapist
1075 LIGHT BLVD
FOREST, VA 24551
Bedford County (888) 808-6050
MATTHEW SCOTT LPMFT
Marriage & Family Therapist
1075 LIGHT BLVD
FOREST, VA 24551
Bedford County (434) 384-1594
DR. EMILY MORGAN HILTON PH.D.
Psychologist (Clinical)
1075 LIGHT BLVD
FOREST, VA 24551
Bedford County (434) 384-1594

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Tyler's NPI number?

The NPI number for Evan Tyler is 1184588972. It was assigned to this individual provider in the NPPES registry on December 15, 2025.

Where is Evan Tyler located?

Evan Tyler practices at 1075 Light Blvd, Forest, VA 24551. The listed phone number is (434) 384-1594.

What is Evan Tyler's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Evan Tyler enrolled in Medicare?

Yes. Evan Tyler is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Evan Tyler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Tyler reassigns Medicare benefits to Light Counseling, Inc. (Forest, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Evan Tyler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evan Tyler accept?

Health plans from Oscar Health list Evan Tyler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evan Tyler was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.