Individual provider Active NPI

Elyse M Tullar, LMFT, CIMHP

  • Marriage & Family Therapist
  • Gilbert, AZ
National Provider Identifier
1750858171
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-16050 Issued in AZ
Practice address
2487 S Gilbert Rd Ste 106-404
Gilbert, AZ 85295-8899
Phone
(509) 414-7379
NPI assigned
Oct 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT-16050 AZ Primary
Marriage & Family Therapist 106H00000X MFT.LF61199773 WA

Addresses

Primary practice location

2487 S Gilbert Rd Ste 106-404
Gilbert, AZ 85295-8899

Mailing address

2487 S Gilbert Rd Ste 106-404
Gilbert, AZ 85295-8899
Phone (509) 414-7379

Other practice location 1

3101 E Boone Ave
Spokane, WA 99202
Phone (509) 414-7379

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
LMFT-16050AZMDMarriage & Family Therapist
MFT.LF61199773WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elyse Tullar LLC Marriage & Family Therapist CurrentSince Nov 16, 2021 Accepting new patients
Yfa Connections Mental Health PastSince Nov 29, 2020 Accepting new patients
Lighthouse Psychiatry LLC Past Accepting new patients
Open Mind Group LLC Past Accepting new patients

Locations

2487 S Gilbert Rd
Ste 106404
Gilbert, AZ 85295
Phone (509) 414-7379

3101 E Boone Ave
Spokane, WA 99202
Phone (509) 414-7379

Organizations & group practices 4

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": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1750858171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2487 S GILBERT RD STE 106-404",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958899",
            "telephone_number": "509-414-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2487 S GILBERT RD STE 106-404",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958899",
            "telephone_number": "509-414-7379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 E Boone Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "99202",
            "country_code": "US",
            "telephone_number": "509-414-7379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TULLAR",
        "first_name": "ELYSE",
        "middle_name": "M",
        "credential": "LMFT, CIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT-16050",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MFT.LF61199773",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.