SELENA TYLER MA, LPC
NPI 1477931210
Counselor - Professional in Austin, TX
About Selena Tyler Ma, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SELENA TYLER MA, LPC (NPI 1477931210) is an individual professional provider in Austin, Texas, licensed in Texas (71120) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Selena Tyler Ma, Lpc 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.
Medicare Billing Reassignment
Medicare enrollment records show Selena Tyler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Austin, TX 78703
- Reassigned Medicare billing, Texas enrollment
- 108 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Selena Tyler's NPI number?
The NPI number for Selena Tyler is 1477931210. It was assigned to this individual provider in the NPPES registry on May 13, 2015.
Where is Selena Tyler located?
Selena Tyler practices at 9201 Meadowheath Dr, Austin, TX 78729. The listed phone number is (512) 785-5556.
What is Selena Tyler's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Selena Tyler enrolled in Medicare?
Yes. Selena Tyler 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.
Which organization bills Medicare for Selena Tyler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Selena Tyler reassigns Medicare benefits to Deep Eddy Psychotherapy Management, LLC (Austin, TX). 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 Selena Tyler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Selena Tyler accept?
Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company and Sendero Health Plans, Local Nonprofit and 1 other insurer list Selena 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 Selena Tyler was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Selena Tyler, MA, LPC · NPI 1477931210
Professional provider in Austin, Texas. Individual provider, active in the CMS NPPES registry since May 13, 2015.
## Identity
- **NPI:** 1477931210 (Entity type: Individual)
- **Enumerated:** May 13, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 71120 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9201 MEADOWHEATH DR, Austin, TX 78729-2825
- **Phone:** (512) 785-5556
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Deep Eddy Psychotherapy Management, LLC (NPI 1457740862, Austin, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** November 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1477931210) · Data from the CMS NPPES public registry.