Individual provider Active NPI

Tyler Moore, LMFT

  • Marriage & Family Therapist
  • Vancouver, WA
National Provider Identifier
1508426537
Registry record updated Jan 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF70047566 Issued in WA
Practice address
1498 SE Tech Center PL Ste 300
Vancouver, WA 98683-5509
Phone
(360) 619-2226
NPI assigned
Jun 20, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2026

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 LF70047566 WA Primary

Addresses

Primary practice location

1498 SE Tech Center PL Ste 300
Vancouver, WA 98683-5509

Mailing address

6303 NE 134TH St
Vancouver, WA 98686-4960

Other practice location 1

6303 NE 134th St
Vancouver, WA 98686-4960
Phone (360) 524-2620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20260603003401 WA Practitioner - Marriage and Family Therapist 6608347315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1498 SE Tech Ctr PL
Suite 300
Vancouver, WA 98683-5509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LF70047566WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Real Life Counseling PLLC CurrentSince Aug 1, 2017 Accepting new patients
Real Life Community Behavioral Health PLLC PastSince Dec 8, 2024 Accepting new patients

Locations

1498 SE Tech Center Pl
Ste 180
Vancouver, WA 98683
Phone (360) 200-8670

2501 NE 134th St
Ste 201
Vancouver, WA 98686
Phone (360) 931-8436

1498 SE Tech Center Pl
Ste 300
Vancouver, WA 98683
Phone (360) 567-2200

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769212800000",
    "number": "1508426537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 NE 134TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986864960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835509",
            "telephone_number": "360-619-2226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6303 NE 134th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986864960",
            "country_code": "US",
            "telephone_number": "360-524-2620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TYLER",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2026-01-24",
        "certification_date": "2026-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF70047566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.