Mary Tyner

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4463 Issued in NE

Practice address

10748 Virginia PLZ Ste 107
La Vista, NE 68128-3265

Phone

(402) 933-4411

Fax

(888) 507-5931

NPI assigned

Aug 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Focus C3, PC

  • Mental Health Counselor
  • La Vista, NE
  • NPI 1831643964
  NPD
• Cohrs Behavioral Consulting, LLC

  • Behavior Analyst
  • Omaha, NE
  • NPI 1063868107

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1366053969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 LUCILLE DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681472504",
            "telephone_number": "402-686-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10748 VIRGINIA PLZ STE 107",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283265",
            "telephone_number": "402-933-4411",
            "fax_number": "888-507-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNER",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey M Tippery, RN
• Heather M Tolvanen
• Minh Tran, PHARMD
• Kady Tronvold
• Deanna Lynn Twait, MSCCCSLP
• Urban Eyes, PC
• Victoriana Valenzuela Sanchez
• Trace Thomas Van Briesen
• Tori Van Dyke
• Vangann Enterprises

• Mental Health Counselor in La Vista, NE
• Providers in La Vista, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.