Individual provider Active NPI

Tyler Hartford, AMFT

  • Marriage & Family Therapist
  • San Luis Obispo, CA
National Provider Identifier
1922586403
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
94504 Issued in CA
Practice address
1115 Toro St
San Luis Obispo, CA 93401-3321
Phone
(805) 459-4092
NPI assigned
Aug 6, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 94504 CA Primary

Addresses

Primary practice location

1115 Toro St
San Luis Obispo, CA 93401-3321

Mailing address

1115 Toro St
San Luis Obispo, CA 93401-3321
Phone (805) 459-4092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250624002861 OR Practitioner - Marriage and Family Therapist 3678085727 Reassigns benefits to 1 organization
I20250624003259 CA Practitioner - Marriage and Family Therapist 3678085727 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
94504CAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Marriage & Family Therapist CurrentSince May 13, 2025 Accepting new patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince May 9, 2025 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

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": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1922586403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 TORO ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013321",
            "telephone_number": "805-459-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 TORO ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013321",
            "telephone_number": "805-459-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTFORD",
        "first_name": "TYLER",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "94504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.