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DR. TYRA WATTS PH.D
NPI 1720422371
Counselor - Professional in Memphis, TN

Active since April 25, 2013PECOS Enrolled
5080 LE CHATEAU COVE, OPTIONAL, MEMPHIS, TN 38125(901) 921-6566(888) 551-0262 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2024, May 30, 2023 (2 updates tracked since 2023).

About Dr. Tyra Watts Ph.d NPPES

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

DR. TYRA WATTS PH.D (NPI 1720422371) is an individual professional provider in Memphis, Tennessee, licensed in Tennessee (5879) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720422371
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. TYRA WATTSCredential: PH.D
Location Address5080 LE CHATEAU COVE, OPTIONALMemphis, TN 38125-0267
Mailing Address5080 Le Chateau CvMemphis, TN 38125-3912 · (901) 921-6566 · Fax (888) 551-0262
Phone(901) 921-6566
Fax(888) 551-0262
Sole ProprietorYes
Enumeration DateApril 25, 2013
Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1720422371 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 TN · 5879
Also ListedRehabilitation PractitionerTaxonomy 225400000X
Also ListedRehabilitation CounselorTaxonomy 225C00000X
5080 LE CHATEAU COVE, Memphis, TN 38125
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Other Identifiers 1

MedicaidQ08224TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tyra Watts Ph.d 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.

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 Watts's NPI number?

The NPI number for Tyra Watts is 1720422371. It was assigned to this individual provider in the NPPES registry on April 25, 2013.

Where is Tyra Watts located?

Tyra Watts practices at 5080 Le Chateau Cove Optional, Memphis, TN 38125. The listed phone number is (901) 921-6566.

What is Tyra Watts's specialty?

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

Is Tyra Watts enrolled in Medicare?

Yes. Tyra Watts is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyra Watts was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.