Tyler Q Stewart, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF60842720 Issued in WA

Practice address

3775 Martin Way E Ste E
Olympia, WA 98506-5007

Phone

(360) 236-7166

Fax

(360) 330-7865

NPI assigned

Aug 16, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Lewis County Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Chehalis, WA
  • NPI 1134164692
  Medicare reassignment NPD
• Lewis County Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Raymond, WA
  • NPI 1205196540
  NPD
• Lewis County Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Centralia, WA
  • NPI 1811669658
  NPD

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1679852065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 NE KRESKY AVE",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322412",
            "telephone_number": "360-330-9595",
            "fax_number": "360-330-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 MARTIN WAY E STE E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065007",
            "telephone_number": "360-236-7166",
            "fax_number": "360-330-7865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2690 NE Kresky Ave",
            "address_purpose": "LOCATION",
            "city": "Chehalis",
            "state": "WA",
            "postal_code": "985322412",
            "country_code": "US",
            "telephone_number": "360-330-9595",
            "fax_number": "360-330-9560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "TYLER",
        "middle_name": "Q",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-16",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60842720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2044763",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benton Philip Stewart, DPM
• Karli J Stewart, LMP, GCFP, LE
• Mark Christopher Stewart, RPH
• Michael P Stewart, PT, DPT
• Tammi Sheppard Stewart, DPT
• Tylynn Stewart
• Kyle Lee Still, DO
• James Bentley Stillman III, B.A.
• Kieran Stilson
• Robin Dianne Stiritz, L.AC.

• Marriage & Family Therapist in Olympia, WA
• Providers in Olympia, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.