Active NPI
Laura Hamblin Tyler, PH.D., LPC
- Professional Counselor
- Little Rock, AR
National Provider Identifier
1497924757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P9610027
- Practice address
- 4301 W Markham St
Slot 554
Little Rock, AR 72205-7101 - Phone
- (501) 686-8231
- Fax
- (501) 686-8154
- NPI assigned
- Feb 20, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P9610027 | AR | Primary |
| Professional Counselor | 101YP2500X | 3116 | GA |
Addresses
Primary practice location
4301 W Markham St
Slot 554
Little Rock, AR 72205-7101
Mailing address
20 Chatel Dr
Little Rock, AR 72223-9113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P9610027 | AR | MD | Professional Counselor |
| 3116 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1497924757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 CHATEL DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722239113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST",
"address_2": "SLOT 554",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-686-8231",
"fax_number": "501-686-8154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "LAURA",
"middle_name": "HAMBLIN",
"credential": "PH.D., LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-20",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P9610027",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "3116",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.