TYRA SHAE QUINTANA M.A. LPC-MHSP (TEMP)
NPI 1417737115
Counselor - Professional in Morrison, TN

Active since October 02, 2023PECOS EnrolledAccepts Medicare Assignment
5736 MANCHESTER HWY, MORRISON, TN 37357(931) 815-3871 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Tyra Shae Quintana M.a. Lpc-mhsp (temp) NPPES

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

TYRA SHAE QUINTANA M.A. LPC-MHSP (TEMP) (NPI 1417737115) is an individual professional provider in Morrison, Tennessee, licensed in Tennessee (6654) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1417737115
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTYRA SHAE QUINTANACredential: M.A. LPC-MHSP (TEMP)
Location Address5736 MANCHESTER HWYMorrison, TN 37357-7503
Mailing Address5736 Manchester HwyMorrison, TN 37357-7503 · (931) 815-3871
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 2, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1417737115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TN · 6654
5736 MANCHESTER HWY, Morrison, TN 37357

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyra Shae Quintana M.a. Lpc-mhsp (temp) is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274984885
PECOS Enrollment IDI20240116001313
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 20

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

Case Manager/Care Coordinator
5736 MANCHESTER HWY
MORRISON, TN 37357
Case Manager/Care Coordinator
5736 MANCHESTER HWY
MORRISON, TN 37357
Licensed Practical Nurse
5736 MANCHESTER HWY
MORRISON, TN 37357
Licensed Practical Nurse
5736 MANCHESTER HWY
MORRISON, TN 37357
Licensed Practical Nurse
5736 MANCHESTER HWY
MORRISON, TN 37357
Licensed Practical Nurse
5736 MANCHESTER HWY
MORRISON, TN 37357
Social Worker (Clinical)
5736 MANCHESTER HWY
MORRISON, TN 37357
Case Manager/Care Coordinator
5736 MANCHESTER HWY
MORRISON, TN 37357

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 Tyra Quintana's NPI number?

The NPI number for Tyra Quintana is 1417737115. It was assigned to this individual provider in the NPPES registry on October 2, 2023.

Where is Tyra Quintana located?

Tyra Quintana practices at 5736 Manchester Hwy, Morrison, TN 37357. The listed phone number is (931) 815-3871.

What is Tyra Quintana's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tyra Quintana enrolled in Medicare?

Yes. Tyra Quintana is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tyra Quintana was last updated on October 2, 2023. 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.