Individual provider Active NPI

Tiara Marie Runyon

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1043706336
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105921 Issued in TX
Practice address
4545 Post Oak Pkwy Ste 349
Houston, TX 77027-3420
Phone
(832) 224-6259
NPI assigned
Jul 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 105921 TX Primary

Addresses

Primary practice location

4545 Post Oak Pkwy Ste 349
Houston, TX 77027-3420

Mailing address

4545 Post Oak Pkwy Ste 349
Houston, TX 77027-3420
Phone (832) 224-6259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 17, 2024 through Dec 17, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eddins Counseling Group, PLLC Counselor CurrentSince Sep 12, 2021 Accepting new patients

Locations

802 W Alabama St
Houston, TX 77006
Phone (832) 323-2355

5225 Katy Fwy
Ste 103
Houston, TX 77007
Phone (832) 225-8518

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.

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1043706336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 POST OAK PKWY STE 349",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273420",
            "telephone_number": "832-224-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 POST OAK PKWY STE 349",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273420",
            "telephone_number": "832-224-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNYON",
        "first_name": "TIARA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.