Individual provider Active NPI

Tawny Marie Weir, LMFT

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1205920113
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
97520 Issued in CA
Practice address
6800 Indiana Ave Ste 260
Riverside, CA 92506-4287
Phone
(951) 782-0040
Fax
(951) 782-2010
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2025

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 97520 CA Primary

Addresses

Primary practice location

6800 Indiana Ave Ste 260
Riverside, CA 92506-4287

Mailing address

PO Box 4154
Rancho Cucamonga, CA 91729-4154
Phone (909) 623-4482

Other practice location 1

5051 Canyon Crest Dr Ste 204
Riverside, CA 92507-6035
Phone (951) 682-1488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409000413 CA Practitioner - Marriage and Family Therapist 6507204625 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Psychology Group, a Professional Corporation CurrentSince Feb 6, 2024 Accepting new patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince May 2, 2025 Accepting new patients

Locations

41760 Ivy St
Ste 204
Murrieta, CA 92562
Phone (951) 682-1488

5051 Canyon Crest Dr
Ste 204
Riverside, CA 92507
Phone (951) 682-1488

3880 Lemon St
Ste 500
Riverside, CA 92501
Phone (951) 530-1299

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1205920113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4154",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917294154",
            "telephone_number": "909-623-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 INDIANA AVE STE 260",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064287",
            "telephone_number": "951-782-0040",
            "fax_number": "951-782-2010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5051 Canyon Crest Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925076035",
            "country_code": "US",
            "telephone_number": "951-682-1488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIR",
        "first_name": "TAWNY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.