TYNESHA IVORY LPC
NPI 1669814745
Counselor - Professional in Little Rock, AR
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
Specialties & Licenses 3
Secondary Practice Locations 2
Other Identifiers 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 (PECOS)
Tynesha Ivory Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tynesha Ivory reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Little Rock, AR 72211
- Reassigned Medicare billing, Arkansas enrollment
- Medicare enrollment name: Access Group Inc
- 19 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 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 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.
Which organization bills Medicare for Tynesha Ivory's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tynesha Ivory reassigns Medicare benefits to Mct, Inc. (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 Tynesha Ivory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 23 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.
# Tynesha Ivory, LPC · NPI 1669814745
Professional provider in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since July 18, 2013.
## Identity
- **NPI:** 1669814745 (Entity type: Individual)
- **Enumerated:** July 18, 2013
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** P2407019 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 N MISSISSIPPI ST, Little Rock, AR 72207-5851
- **Phone:** (501) 217-8600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mct, Inc. (NPI 1881005387, Little Rock, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 8, 2024
- **Other identifiers:** Medicaid 278537795 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1669814745) · Data from the CMS NPPES public registry.