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MR. TYLER YEATTS LPC
NPI 1932904174
Counselor in Lynchburg, VA

Active since February 13, 2025PECOS EnrolledAccepts Medicare Assignment
168 KITTY HAWK SQ, LYNCHBURG, VA 24502(143) 494-1028 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Tyler Yeatts Lpc NPPES

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

MR. TYLER YEATTS LPC (NPI 1932904174) is an individual counselor in Lynchburg, Virginia, licensed in Virginia (0701013860) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1932904174
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. TYLER YEATTSCredential: LPC
Location Address168 KITTY HAWK SQLynchburg, VA 24502-4394
Mailing Address168 Kitty Hawk SqLynchburg, VA 24502-4394 · (434) 941-0289
Phone(143) 494-1028
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 13, 2025
NPPES CertifiedFebruary 13, 2025
✔ NPI 1932904174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in VA · 0701013860
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
168 KITTY HAWK SQ, Lynchburg, VA 24502
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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

Mr. Tyler Yeatts 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.

PECOS PAC ID6608347851
PECOS Enrollment IDI20260609000250
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 Tyler Yeatts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anderson Mediation Services, Inc
2.8 mi
Counselor
434 GRAVES MILL RD BLDG 100
Lynchburg, VA 24502
  • Reassigned Medicare billing, Virginia enrollment
  • 3 clinicians in this Medicare group
NPI 1356406284 (434) 239-2004

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 Tyler Yeatts's NPI number?

The NPI number for Tyler Yeatts is 1932904174. It was assigned to this individual provider in the NPPES registry on February 13, 2025.

Where is Tyler Yeatts located?

Tyler Yeatts practices at 168 Kitty Hawk Sq, Lynchburg, VA 24502. The listed phone number is (143) 494-1028.

What is Tyler Yeatts's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Tyler Yeatts enrolled in Medicare?

Yes. Tyler Yeatts 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 Tyler Yeatts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Yeatts reassigns Medicare benefits to Anderson Mediation Services, Inc (Lynchburg, VA). 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 Tyler Yeatts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tyler Yeatts was last updated on February 13, 2025. 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.