Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Tyra Bennett, LMFT111017

Individual provider Marriage & Family Therapist · NPI 1235576794

Mrs. Tyra Bennett, LMFT111017 is a Marriage and Family Therapist in Lafayette, California. Qualified in 2012, 14 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2013
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Practice location Address checks out

3559 Mt Diablo Blvd Unit 190
Lafayette, CA 94549-3876
Phone: (909) 961-5128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 111017 (CA)

Record details

NPI number1235576794
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT111017
Sole proprietorYes
NPI enumeratedMay 23, 2013
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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