Tonya Tidwell, LAC
NPI 1659623833ActiveIndividual· Counselor, Professional· Conway, AR
Counselor, Professional (LAC) in Conway, Arkansas, licensed in AR, with an NPI issued in October 2012. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1659623833 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LAC |
| Sole proprietor | Yes |
| NPI issued | Oct 11, 2012 |
| Last updated in NPPES | Aug 21, 2025 |
| Certified by provider | Aug 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | A2205009 | AR |
| Counselor, Professional | 101YP2500X | P2508009 | AR |
| Case Manager/Care Coordinator | 171M00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (AR) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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