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TYLER CUILLA LIAC
NPI 1376345561
Counselor - Addiction (Substance Use Disorder) in Flagstaff, AZ

Active since March 26, 2025PECOS Enrolled
1515 E CEDAR AVE STE E-2, FLAGSTAFF, AZ 86004(928) 714-0010 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tyler Cuilla Liac NPPES

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

TYLER CUILLA LIAC (NPI 1376345561) is an individual addiction (substance use disorder) provider in Flagstaff, Arizona, licensed in Arizona (LIAC-155362) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1376345561
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTYLER CUILLACredential: LIAC
Location Address1515 E CEDAR AVE STE E-2Flagstaff, AZ 86004-1646
Mailing Address9116 W Arden LnBellemont, AZ 86015-5021 · (480) 212-2946
Phone(928) 714-0010
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1376345561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in AZ · LIAC-155362
1515 E CEDAR AVE STE E-2, Flagstaff, AZ 86004
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3173011426
PECOS Enrollment IDI20251020002549
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.

Other Providers at the Same Location NPPES 5

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

DR. RIELLY BOYD PH.D.
Psychologist
1515 E CEDAR AVE STE E-2
FLAGSTAFF, AZ 86004
Coconino County (928) 714-0010
HOLLY NESTER P.T., M.P.T.
Physical Therapist
1515 E CEDAR AVE STE E-2
FLAGSTAFF, AZ 86004
Coconino County (928) 214-7430
GREGORY YARBROUGH LPC
Counselor
1515 E CEDAR AVE STE E-2
FLAGSTAFF, AZ 86004
Coconino County (928) 714-0010
LINDA L BRABANT P.T.
Physical Therapist
1515 E CEDAR AVE STE E-2
FLAGSTAFF, AZ 86004
Coconino County (928) 214-7430
DEBORAH BODIN P.T., M.P.T.
Physical Therapist
1515 E CEDAR AVE STE E-2
FLAGSTAFF, AZ 86004
Coconino County (928) 214-7430

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 Cuilla's NPI number?

The NPI number for Tyler Cuilla is 1376345561. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Tyler Cuilla located?

Tyler Cuilla practices at 1515 E Cedar Ave Ste E-2, Flagstaff, AZ 86004. The listed phone number is (928) 714-0010.

What is Tyler Cuilla's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Tyler Cuilla enrolled in Medicare?

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

What insurance does Tyler Cuilla accept?

Health plans from Ambetter from Arizona Complete Health and Oscar Health Plan, Inc. list Tyler Cuilla 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 Cuilla was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.