TARYN CROCKERHAM LMFT
NPI 1154727121
Marriage & Family Therapist in Santa Clara, CA

Active since November 18, 2014PECOS EnrolledAccepts Medicare Assignment
3840 HOMESTEAD RD, SANTA CLARA, CA 95051(408) 851-4890 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2024, Jun 21, 2024, Apr 8, 2024 and 1 more (4 updates tracked since 2022).

About Taryn Crockerham Lmft NPPES

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

TARYN CROCKERHAM LMFT (NPI 1154727121) is an individual marriage & family therapist in Santa Clara, California, licensed in California (106510) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1154727121
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTARYN CROCKERHAMCredential: LMFT
Location Address3840 HOMESTEAD RDSanta Clara, CA 95051-4542
Mailing Address1346 The Alameda Ste 7San Jose, CA 95126-5006 · (408) 851-4890
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 18, 2014
Last NPPES UpdateAugust 6, 20244 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
NPI 1154727121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 106510
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.
Also ListedPsychologistTaxonomy 103T00000X
3840 HOMESTEAD RD, Santa Clara, CA 95051

Secondary Practice Locations 2

Location 1232 E Gish RdSan Jose, CA 95112-4706 · Phone (408) 379-3790 · Fax (408) 364-4013
Location 2590 W El Camino RealMountain View, CA 94040-2612 · Phone (408) 364-7052

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Taryn Crockerham Lmft 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 ID7214380195
PECOS Enrollment IDI20240126002135
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.

Other Providers at the Same Location NPPES 18

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

Marriage & Family Therapist
3840 HOMESTEAD RD
SANTA CLARA, CA 95051
Psychologist (Counseling)
3840 HOMESTEAD RD
SANTA CLARA, CA 95051
Pharmacy (Institutional Pharmacy)
3840 HOMESTEAD RD
SANTA CLARA, CA 95051
Social Worker (Clinical)
3840 HOMESTEAD RD
SANTA CLARA, CA 95051
Social Worker (Clinical)
3840 HOMESTEAD RD
SANTA CLARA, CA 95051
Social Worker (Clinical)
3840 HOMESTEAD RD
SANTA CLARA, CA 95051
Student in an Organized Health Care Education/Training Program
3840 HOMESTEAD RD, KAISER PERMANENTE BEHAVIORAL HEALTH CENTER
SANTA CLARA, CA 95051
Occupational Therapist
3840 HOMESTEAD RD
SANTA CLARA, CA 95051

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 Taryn Crockerham's NPI number?

The NPI number for Taryn Crockerham is 1154727121. It was assigned to this individual provider in the NPPES registry on November 18, 2014.

Where is Taryn Crockerham located?

Taryn Crockerham practices at 3840 Homestead Rd, Santa Clara, CA 95051. The listed phone number is (408) 851-4890.

What is Taryn Crockerham's specialty?

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

Is Taryn Crockerham enrolled in Medicare?

Yes. Taryn Crockerham 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.

When was this NPI record last updated?

The NPPES record for Taryn Crockerham was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.