TYLER YOUNG QUATTLEBAUM LPC
NPI 1366930802
Counselor - Mental Health in Fayetteville, AR

Q: What is Tyler Quattlebaum's NPI number?

The NPI number for Tyler Quattlebaum is 1366930802. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Q: What is Tyler Quattlebaum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tyler Quattlebaum was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since April 30, 2018

19 E MOUNTAIN ST STE 1, FAYETTEVILLE, AR 72701(479) 381-0831 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2022, Sep 19, 2022, Apr 30, 2018 (3 updates tracked since 2018).

On this page

About Tyler Young Quattlebaum Lpc NPPES

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

TYLER YOUNG QUATTLEBAUM LPC (NPI 1366930802) is an individual mental health provider in Fayetteville, Arkansas, licensed in Arkansas (P2210005) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1366930802

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameTYLER YOUNG QUATTLEBAUMCredential: LPC

Location Address19 E MOUNTAIN ST STE 1Fayetteville, AR 72701-6067

Mailing Address19 E Mountain St Ste 1Fayetteville, AR 72701-6067 · (479) 381-0831

Phone(479) 381-0831

Sole ProprietorYes

Enumeration DateApril 30, 2018

Last NPPES UpdateOctober 10, 20223 updates tracked since enumeration

NPPES CertifiedOctober 10, 2022

✔ NPI 1366930802 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 AR · P2210005

19 E MOUNTAIN ST STE 1, Fayetteville, AR 72701

Open in Google Maps ↗

Other Identifiers 1

OtherP2210005AR · Arkansas Board Of Examiners In Counseling And Marriage & Family Therapy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 Tyler Quattlebaum's NPI number?

The NPI number for Tyler Quattlebaum is 1366930802. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Where is Tyler Quattlebaum located?

Tyler Quattlebaum practices at 19 E Mountain St Ste 1, Fayetteville, AR 72701. The listed phone number is (479) 381-0831.

What is Tyler Quattlebaum's specialty?

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

What insurance does Tyler Quattlebaum accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Tyler Quattlebaum 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 Tyler Quattlebaum was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.