Individual provider Active NPI

Tyra Everett Rios, LMFT

  • Marriage & Family Therapist
  • Jacksonville, FL
National Provider Identifier
1679153068
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT5005 Issued in FL
Practice address
2268 Mayport Rd Lot 174
Jacksonville, FL 32233-7707
Phone
(805) 236-1260
NPI assigned
Apr 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 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 MT5005 FL Primary

Addresses

Primary practice location

2268 Mayport Rd Lot 174
Jacksonville, FL 32233-7707

Mailing address

842 Christy CT
Pensacola, FL 32508-1068
Phone (904) 452-4070

Other practice location 1

842 Christy ct
Pensacola, FL 32508
Phone (805) 236-1260

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

LicenseStateTypeSpecialty
MT5005FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1618012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1679153068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 CHRISTY CT",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325081068",
            "telephone_number": "904-452-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2268 MAYPORT RD LOT 174",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322337707",
            "telephone_number": "805-236-1260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "842 Christy ct",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "32508",
            "country_code": "US",
            "telephone_number": "805-236-1260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIOS",
        "first_name": "TYRA",
        "middle_name": "EVERETT",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-10",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT5005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.