Tyler Marin Diaz, LMFT 86361

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

86361 Issued in CA

Practice address

2350 W Shaw Ave Ste 116
Fresno, CA 93711

Phone

(559) 385-5734

Fax

(559) 224-4288

NPI assigned

Aug 11, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• VMS Family Counseling Services

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1497093231
  NPD (past)

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1427363639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 W SHAW AVE STE 116",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113412",
            "telephone_number": "559-385-5734",
            "fax_number": "559-224-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 W SHAW AVE STE 116",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93711",
            "telephone_number": "559-385-5734",
            "fax_number": "559-224-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "TYLER",
        "middle_name": "MARIN",
        "credential": "LMFT 86361",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "86361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Carolina Diaz, APCC
• Samantha Diaz
• Sirena Diaz
• Toni Diaz
• Tyler Dustin Diaz, LPT
• Vivian Diaz
• Monica J Dibble, RCP
• Tammy M Diceglie, D.C.
• Lucas Jordan Diciccio, DDS
• Pasqualino Diciccio, D.D.S., M.S.

• Mental Health Counselor in Fresno, CA
• Providers in Fresno, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.