Tailgate Time Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TAILGATE TIME INC

Practice address

778 County Road 680
Bay, AR 72411-9300

Phone

(901) 832-3050

NPI assigned

Nov 21, 2025

Last updated

Nov 21, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda Michelle Barker, LPCNPI 1316376536

Title

Co-Founder/Clinical Director

Phone

(901) 832-3050

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Barker, LPC

  • Mental Health Counselor
  • Jonesboro, AR
  • NPI 1316376536
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1386505048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 COUNTY ROAD 680",
            "city": "BAY",
            "state": "AR",
            "postal_code": "724119300",
            "telephone_number": "901-832-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 COUNTY ROAD 680",
            "city": "BAY",
            "state": "AR",
            "postal_code": "724119300",
            "telephone_number": "901-832-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAILGATE TIME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CO-FOUNDER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "901-832-3050",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi L Davis, APRN
• Brittany K Fair, PA
• Wanda Faye Mooney, APRN
• Crissie Parks
• Jessica Strickland, IBCLC

• Mental Health Counselor in Bay, AR
• Providers in Bay, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.