Active NPI
Tyler Harano
- Marriage & Family Therapist
- Spokane, WA
National Provider Identifier
1043072945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MG61506078
- Practice address
- 201 W North River Dr Ste 301
Spokane, WA 99201-2262 - Phone
- (509) 903-0103
- NPI assigned
- Jan 25, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 204962 | TX | |
| Marriage & Family Therapist | 106H00000X | MG61506078 | WA | Primary |
Addresses
Primary practice location
201 W North River Dr Ste 301
Spokane, WA 99201-2262
Mailing address
522 W Riverside Ave # 4612
Spokane, WA 99201-0580
Phone (805) 416-6760
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
| License | State | Type | Specialty |
|---|---|---|---|
| 204962 | TX | MD | Marriage & Family Therapist |
| MG61506078 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Therapy Group PC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
201 W North River Dr
Ste 301
Spokane, WA 99201
Phone (509) 496-0724
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.
-
- Clinical Social Worker
- Mountlake Terrace, WA
- NPI 1316238678
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1043072945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 W RIVERSIDE AVE # 4612",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010580",
"telephone_number": "805-416-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W NORTH RIVER DR STE 301",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012262",
"telephone_number": "509-903-0103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARANO",
"first_name": "TYLER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-25",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "204962",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "MG61506078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.