Individual provider Active NPI

Tracie Tyler, MA, LMFT

  • Marriage & Family Therapist
  • Beverly Hills, CA
National Provider Identifier
1194341644
Registry record updated Jun 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
119440 Issued in CA
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

Updated by the provider on Jun 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
119440CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Tomorrow Family Therapy Inc Marriage & Family Therapist PastSince Dec 14, 2025 Accepting new patients
Kohan International Foundation Marriage & Family Therapist PastSince Mar 27, 2015 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.

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.

Verify at the official NPI Registry.