Active NPI
Marisha Tyler, LMFT
- Marriage & Family Therapist
- Lubbock, TX
National Provider Identifier
1588080394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 201623
- Practice address
- 8212 Ithaca Ave
Suite E-12
Lubbock, TX 79423-2632 - Phone
- (505) 330-9870
- NPI assigned
- Mar 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 201623 | TX | Primary |
Addresses
Primary practice location
8212 Ithaca Ave
Suite E-12
Lubbock, TX 79423-2632
Mailing address
8212 Ithaca Ave
Suite E-12
Lubbock, TX 79423-2632
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201623 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1588080394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8212 ITHACA AVE",
"address_2": "SUITE E-12",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794232632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8212 ITHACA AVE",
"address_2": "SUITE E-12",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794232632",
"telephone_number": "505-330-9870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "MARISHA",
"name_prefix": "Miss",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-17",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "201623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.