TYLER BURNS MFT
NPI 1174950091
Marriage & Family Therapist in Oakland, CA

Q: What is Tyler Burns's NPI number?

The NPI number for Tyler Burns is 1174950091. It was assigned to this individual provider in the NPPES registry on October 9, 2013.

Q: What is Tyler Burns's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Burns was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 09, 2013PECOS EnrolledAccepts Medicare Assignment

222 BROADWAY UNIT 914, OAKLAND, CA 94607(415) 515-3461 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Tyler Burns Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER BURNS MFT (NPI 1174950091) is an individual marriage & family therapist in Oakland, California, licensed in California (53101) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2005).

NPPES Registry Identity

NPI1174950091

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameTYLER BURNSCredential: MFT

Location Address222 BROADWAY UNIT 914Oakland, CA 94607

Mailing Address222 Broadway Unit 914Oakland, CA 94607 · (415) 515-3461

Phone(415) 515-3461

Sole ProprietorYes

Medical School CMSBoston University School Of MedicineGraduated 2005

Enumeration DateOctober 9, 2013

Last NPPES UpdateFebruary 11, 2022

✔ NPI 1174950091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 53101

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

222 BROADWAY UNIT 914, Oakland, CA 94607

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyler Burns Mft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032552922

PECOS Enrollment IDI20240207003580

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tyler Burns reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

9.1 mi

Internal Medicine

2238 GEARY
San Francisco, CA 94116

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1841373800 (415) 833-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Burns's NPI number?

The NPI number for Tyler Burns is 1174950091. It was assigned to this individual provider in the NPPES registry on October 9, 2013.

Where is Tyler Burns located?

Tyler Burns practices at 222 Broadway Unit 914, Oakland, CA 94607. The listed phone number is (415) 515-3461.

What is Tyler Burns's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Tyler Burns enrolled in Medicare?

Yes. Tyler Burns is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tyler Burns's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Burns reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyler Burns's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tyler Burns was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.