Active NPI
Tracie Tyler, MA, LMFT
- Marriage & Family Therapist
- Beverly Hills, CA
National Provider Identifier
1194341644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 119440
- Practice address
- 9171 Wilshire Blvd Ste 680
Beverly Hills, CA 90210-5542 - Phone
- (424) 341-3167
- NPI assigned
- Jun 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 119440 | CA | Primary |
Addresses
Primary practice location
9171 Wilshire Blvd Ste 680
Beverly Hills, CA 90210-5542
Mailing address
312 S Beverly Dr Unit 3471
Beverly Hills, CA 90212-1962
Phone (310) 415-5191
Other practice location 1
5601 W Slauson Ave
Los Angeles, CA 90230-6582
Phone (424) 331-9070
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119440 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighter Tomorrow Family Therapy Inc | Marriage & Family Therapist | Past | Accepting new patients |
| Kohan International Foundation | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Culver City, CA
- NPI 1376407841
Marriage & Family Therapist
-
- Marriage & Family Therapist
- Culver City, CA
- NPI 1538424049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592697600000",
"number": "1194341644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 S BEVERLY DR UNIT 3471",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902121962",
"telephone_number": "310-415-5191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9171 WILSHIRE BLVD STE 680",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105542",
"telephone_number": "424-341-3167"
}
],
"practiceLocations": [
{
"address_1": "5601 W Slauson Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "902306582",
"country_code": "US",
"telephone_number": "424-331-9070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYLER",
"first_name": "TRACIE",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-21",
"last_updated": "2020-06-21",
"certification_date": "2020-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "119440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.