Tyler Yeatts, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0701013860 Issued in VA

Practice address

168 Kitty Hawk SQ
Lynchburg, VA 24502-4394

Phone

(143) 494-1028

NPI assigned

Feb 13, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Anderson Mediation Services, Inc

  • Counselor
  • Lynchburg, VA
  • NPI 1356406284
  Medicare reassignment

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1932904174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 KITTY HAWK SQ",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024394",
            "telephone_number": "434-941-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 KITTY HAWK SQ",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024394",
            "telephone_number": "143-494-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEATTS",
        "first_name": "TYLER",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701013860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Markham Yarber, RN, BSN, CNNP
• Melinda Marie Meritt Yarborough, PA-C
• Kevin Yates, PHARMD
• Matthew Timothy Yates, ATC
• Victoria Fuzaylova Yeager, D.D.S.
• Nana Kwasi Yeboah, STUDENT
• Andrea S. Yesalis, NP, PHD, CCD
• Daryl H Yoder, M.D.
• Derek R Yoder, DO
• Hye Jin Yoo, DPM

• Counselor in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.