TONYA TIDWELL LAC
NPI 1659623833
Counselor - Professional in Conway, AR

Active since October 11, 2012PECOS Enrolled
800 EXCHANGE AVE STE 103, CONWAY, AR 72032(501) 781-2230(870) 972-4911 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 29, 2022, Aug 27, 2018 (2 updates tracked since 2018).

About Tonya Tidwell Lac NPPES

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

TONYA TIDWELL LAC (NPI 1659623833) is an individual professional provider in Conway, Arkansas, licensed in Arkansas (A2205009) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Atkins, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1659623833
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTONYA TIDWELLCredential: LAC
Location Address800 EXCHANGE AVE STE 103Conway, AR 72032-7833
Mailing Address35 Goff StVilonia, AR 72173-9315 · (479) 567-1858
Fax(870) 972-4911
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 11, 2012
Last NPPES UpdateAugust 21, 20252 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
✔ NPI 1659623833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in AR · A2205009✔ Licensed in AR · P2508009
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
800 EXCHANGE AVE STE 103, Conway, AR 72032

Other Names 1

Former Name (1)Tonya Mcfarland

Secondary Practice Location 1

Location 11309 N Church StAtkins, AR 72823-3230 · Phone (479) 641-0730 · Fax (479) 641-0732

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tonya Tidwell Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375001472
PECOS Enrollment IDI20260819001605
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.

Medicare Billing Reassignment

Medicare enrollment records show Tonya Tidwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
10311 W MARKHAM ST
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 94 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.

Other Providers at the Same Location NPPES 4

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

Counselor
800 EXCHANGE AVE STE 103
CONWAY, AR 72032
Counselor (Mental Health)
800 EXCHANGE AVE STE 103
CONWAY, AR 72032
Counselor (Professional)
800 EXCHANGE AVE STE 103
CONWAY, AR 72032
Counselor
800 EXCHANGE AVE STE 103
CONWAY, AR 72032

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 Tonya Tidwell's NPI number?

The NPI number for Tonya Tidwell is 1659623833. It was assigned to this individual provider in the NPPES registry on October 11, 2012. The provider is also known as Tonya Mcfarland.

Where is Tonya Tidwell located?

Tonya Tidwell practices at 800 Exchange Ave Ste 103, Conway, AR 72032. The listed phone number is (501) 781-2230.

What is Tonya Tidwell's specialty?

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

Is Tonya Tidwell enrolled in Medicare?

Yes. Tonya Tidwell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tonya Tidwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Tidwell reassigns Medicare benefits to Chenal Family Therapy, Plc (Little Rock, AR). 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 Tonya Tidwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonya Tidwell accept?

Health plans from Health Advantage and Octave list Tonya Tidwell 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 Tonya Tidwell was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.