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NPI · 1457087553 · NPPES-sourced

Destinee Tyra Lac

ActiveMental Health Counselor
NPI Number
1457087553
Type 1 · Individual
Taxonomy Code
101YM0800X
Contact
(479) 968-1298
License AR · A2602002
Last Updated
Enumerated
Primary practice addressAR · 72801-3362
110 Skyline DrRussellville, AR 72801-3362
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Also known as

  • Formerly known asPenzo, Destinee

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1457087553 is registered to Destinee Tyra Lac, a Mental Health Counselor practising at 110 Skyline Dr in Russellville, Arkansas. Mental Health Counselor is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Destinee Tyra Lac has been enumerated in the National Provider Identifier (NPI) registry since 2022.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Destinee Tyra Lac accepts. To confirm in-network status with your specific health plan, contact Destinee Tyra Lac directly at (479) 968-1298.

Frequently asked

Yes. NPI 1457087553 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Mental Health Counselor is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (479) 968-1298.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Destinee Tyra Lac is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy101YM0800X
Last updated
Enumerated
StatusActive
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2 records · same addressOther providers at this location.

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Same specialtyOther Mental Health Counselor providers in Arkansas.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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