Individual provider Active NPI

Tyler Barnes

  • Social Worker
  • Georgetown, TX
National Provider Identifier
1821979345
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
117062 Issued in TX
Practice address
1811 N Austin Ave Ste 203
Georgetown, TX 78626-4628
Phone
(737) 367-3040
NPI assigned
Sep 10, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 117062 TX Primary

Addresses

Primary practice location

1811 N Austin Ave Ste 203
Georgetown, TX 78626-4628

Mailing address

2140 Robert Browning St
Austin, TX 78723-3390

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

State licenses

LicenseStateTypeSpecialty
117062TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unbroken Abundance PLLC CurrentSince Sep 14, 2025 Accepting new patients

Locations

1811 N Austin Ave
Ste 203
Georgetown, TX 78626
Phone (737) 367-3040

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": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1821979345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 ROBERT BROWNING ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 N AUSTIN AVE STE 203",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786264628",
            "telephone_number": "737-367-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "117062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.