Reva Tilley, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

72103 Issued in TX

Practice address

1001 S Polk St
Amarillo, TX 79101-3407

Phone

(806) 342-2500

NPI assigned

Jan 28, 2016

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family Support Services of Amarillo

  • Clinical Social Worker
  • Amarillo, TX
  • NPI 1669404083

  Professional

  NPD (past)

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1952768434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S POLK ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791013407",
            "telephone_number": "806-342-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S POLK ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791013407",
            "telephone_number": "806-342-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "REVA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tide Falls Professional Counseling, LLC
• Angela Tidwell
• Lisa C Tidwell, LCSW
• Stephen Tidwell, D.O.
• Alyssa Marie Tienda, MD
• Tim Enevoldsen M.Ed., LPC-S, PLLC
• Troy Don Timmons, M.ED., L.P.C.
• Andrew Chase Timms, PHARMD.
• Timothy M Risko, MD, PA
• Tina Spohn-Ledford Family Practice Clinic

• Professional Counselor in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.