MARY TYNER
NPI 1366053969
Counselor - Mental Health in La Vista, NE

Q: What is Mary Tyner's NPI number?

The NPI number for Mary Tyner is 1366053969. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Q: What is Mary Tyner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Mary Tyner was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 August 17, 2020

10748 VIRGINIA PLZ STE 107, LA VISTA, NE 68128(402) 933-4411(888) 507-5931 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2026, Oct 6, 2023, Aug 17, 2020 (3 updates tracked since 2020).

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About Mary Tyner NPPES

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

MARY TYNER (NPI 1366053969) is an individual mental health provider in La Vista, Nebraska, licensed in Nebraska (4463) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1366053969

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMARY TYNER

Location Address10748 VIRGINIA PLZ STE 107La Vista, NE 68128-3265

Mailing Address2205 Lucille DrBellevue, NE 68147-2504 · (402) 686-9760

Phone(402) 933-4411

Fax(888) 507-5931

Sole ProprietorYes

Enumeration DateAugust 17, 2020

Last NPPES UpdateMarch 9, 20263 updates tracked since enumeration

NPPES CertifiedMarch 9, 2026

✔ NPI 1366053969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NE · 4463

Also ListedBehavior TechnicianTaxonomy 106S00000X

10748 VIRGINIA PLZ STE 107, La Vista, NE 68128

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN M WILLIAMS LIMP

Counselor (Mental Health)

10748 VIRGINIA PLZ STE 107
LA VISTA, NE 68128

Sarpy County (402) 933-4411

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 Mary Tyner's NPI number?

The NPI number for Mary Tyner is 1366053969. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Where is Mary Tyner located?

Mary Tyner practices at 10748 Virginia Plz Ste 107, La Vista, NE 68128. The listed phone number is (402) 933-4411.

What is Mary Tyner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mary Tyner was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.