TYRA SHAE QUINTANA M.A. LPC-MHSP (TEMP)
NPI 1417737115
Counselor - Professional in Morrison, TN
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.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tyra Shae Quintana M.a. Lpc-mhsp (temp) is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 enrollment system.
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 2 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.
# Tyra Shae Quintana, M.A. LPC-MHSP (TEMP) · NPI 1417737115
Professional provider in Morrison, Tennessee. Individual provider, active in the CMS NPPES registry since October 2, 2023.
## Identity
- **NPI:** 1417737115 (Entity type: Individual)
- **Enumerated:** October 2, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6654 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 5736 MANCHESTER HWY, Morrison, TN 37357-7503
- **Phone:** (931) 815-3871
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** October 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1417737115) · Data from the CMS NPPES public registry.