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TYNESHA IVORY LPC
NPI 1669814745
Counselor - Professional in Little Rock, AR

Active since July 18, 2013PECOS Enrolled
1500 N MISSISSIPPI ST, LITTLE ROCK, AR 72207(501) 217-8600 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2024, Jan 19, 2023, Jan 11, 2022 and 1 more (4 updates tracked since 2021).

About Tynesha Ivory Lpc NPPES

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

TYNESHA IVORY LPC (NPI 1669814745) is an individual professional provider in Little Rock, Arkansas, licensed in Arkansas (P2407019) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669814745
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTYNESHA IVORYCredential: LPC
Location Address1500 N MISSISSIPPI STLittle Rock, AR 72207-5851
Mailing Address10618 Breckenridge DrLittle Rock, AR 72211-1802 · (501) 217-8600
Phone(501) 217-8600
Sole ProprietorNo
Enumeration DateJuly 18, 2013
Last NPPES UpdateNovember 8, 20244 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
✔ NPI 1669814745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P2407019
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License A2111000 (AR)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1500 N MISSISSIPPI ST, Little Rock, AR 72207
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Secondary Practice Locations 2

Location 16210 Baseline RdLittle Rock, AR 72209-4728 · Phone (501) 265-0302 · Fax (501) 265-0300
Location 210618 Breckenridge DrLittle Rock, AR 72211-1802 · Phone (501) 217-8600

Other Identifiers 1

Medicaid278537795AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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)

Tynesha Ivory Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

EMILY PRICE M.S., CCC-SLP
Speech-Language Pathologist
1500 N MISSISSIPPI ST
LITTLE ROCK, AR 72207
Pulaski County (501) 217-8600
MARY S. MCRAE TEACHER
Specialist
1500 N MISSISSIPPI ST
LITTLE ROCK, AR 72207
Pulaski County (501) 217-8600
GEORGE ROBERTSON TEACHER
Specialist
1500 N MISSISSIPPI ST
LITTLE ROCK, AR 72207
Pulaski County (501) 217-8600
SHALISA DUMAS BS
Case Manager/Care Coordinator
1500 N MISSISSIPPI ST
LITTLE ROCK, AR 72207
Pulaski County (501) 217-8600
AMY KELTON TEACHER
Specialist
1500 N MISSISSIPPI ST
LITTLE ROCK, AR 72207
Pulaski County (501) 217-8600
MEGAN NICOLE LUDWIG
Speech-Language Pathologist
1500 N MISSISSIPPI ST
LITTLE ROCK, AR 72207
Pulaski County (501) 217-8600
ANGELA WILCOX
Physical Therapist
1500 N MISSISSIPPI ST
LITTLE ROCK, AR 72207
Pulaski County (012) 178-6005
KENLEY BROOKE JACKSON PT, DPT
Physical Therapist
1500 N MISSISSIPPI ST
LITTLE ROCK, AR 72207
Pulaski County (501) 217-8600

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 Tynesha Ivory's NPI number?

The NPI number for Tynesha Ivory is 1669814745. It was assigned to this individual provider in the NPPES registry on July 18, 2013.

Where is Tynesha Ivory located?

Tynesha Ivory practices at 1500 N Mississippi St, Little Rock, AR 72207. The listed phone number is (501) 217-8600.

What is Tynesha Ivory's specialty?

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

Is Tynesha Ivory enrolled in Medicare?

Yes. Tynesha Ivory is registered in the Medicare PECOS enrollment system.

What insurance does Tynesha Ivory accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Tynesha Ivory 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 Tynesha Ivory was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.