Individual provider Active NPI

Tonya Tidwell, LAC

  • Professional Counselor
  • Conway, AR
National Provider Identifier
1659623833
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A2205009 Issued in AR
Practice address
800 Exchange Ave Ste 103
Conway, AR 72032-7833
Phone
(501) 781-2230
Fax
(870) 972-4911
NPI assigned
Oct 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P2508009 AR
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X A2205009 AR Primary

Addresses

Primary practice location

800 Exchange Ave Ste 103
Conway, AR 72032-7833

Mailing address

35 Goff St
Vilonia, AR 72173-9315
Phone (479) 567-1858

Other practice location 1

1309 N Church St
Atkins, AR 72823-3230
Phone (479) 641-0730

Other names 1

  • Tonya McFarland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A2205009ARMDProfessional Counselor
P2508009ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chenal Family Therapy, PLC CurrentSince Jan 28, 2024 Accepting new patients
Maxus Inc Past Accepting new patients

Locations

800 Exchange Ave
Ste 103
Conway, AR 72032
Phone (501) 701-2230

10311 W Markham St
Little Rock, AR 72205
Phone (501) 681-3300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1659623833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 GOFF ST",
            "city": "VILONIA",
            "state": "AR",
            "postal_code": "721739315",
            "telephone_number": "479-567-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 EXCHANGE AVE STE 103",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327833",
            "telephone_number": "501-781-2230",
            "fax_number": "870-972-4911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309 N Church St",
            "address_purpose": "LOCATION",
            "city": "Atkins",
            "state": "AR",
            "postal_code": "728233230",
            "country_code": "US",
            "telephone_number": "479-641-0730",
            "fax_number": "479-641-0732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "TONYA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2508009",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "A2205009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONYA",
            "last_name": "MCFARLAND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.