Individual provider Active NPI

Tyra Bernard-Watts, RH.D, LPC

  • Professional Counselor
  • Memphis, TN
National Provider Identifier
1720422371
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5879 Issued in TN
Practice address
5080 Le Chateau Cove
Optional
Memphis, TN 38125-0267
Phone
(901) 921-6566
Fax
(888) 551-0262
NPI assigned
Apr 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X
Professional Counselor 101YP2500X 5879 TN Primary
Rehabilitation Practitioner 225400000X

Addresses

Primary practice location

5080 Le Chateau Cove
Optional
Memphis, TN 38125-0267

Mailing address

5080 Le Chateau CV
Memphis, TN 38125-3912
Phone (901) 921-6566

Other practice location 1

800 S James M Campbell Blvd Ste 100
Columbia, TN 38401-5371
Phone (972) 779-5025

Other identifiers 1

IdentifierTypeStateIssuer
Q08224MedicaidTN

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: No
  • 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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5879TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tyra Watts Consulting, LLC CurrentSince Jun 4, 2023 Accepting new patients

Organizations & group practices 1

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": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1720422371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 LE CHATEAU CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381253912",
            "telephone_number": "901-921-6566",
            "fax_number": "888-551-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 LE CHATEAU COVE",
            "address_2": "OPTIONAL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381250267",
            "telephone_number": "901-921-6566",
            "fax_number": "888-551-0262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 S James M Campbell Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "384015371",
            "country_code": "US",
            "telephone_number": "972-779-5025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNARD-WATTS",
        "first_name": "TYRA",
        "name_prefix": "Dr.",
        "credential": "RH.D, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5879",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q08224",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.