TARYN BROOKE PEMBERTON LMHCA
NPI 1245814854
Counselor - Mental Health in Valleyford, WA

Active since May 10, 2021Opted out of Medicare · through Jan 14, 2028
5526 E STOUGHTON RD, VALLEYFORD, WA 99036(509) 720-6853 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2024, May 10, 2021 (2 updates tracked since 2021).

About Taryn Brooke Pemberton Lmhca NPPES

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

TARYN BROOKE PEMBERTON LMHCA (NPI 1245814854) is an individual mental health provider in Valleyford, Washington, licensed in Washington (61390627) and active in the NPI registry since May 2021. She has opted out of Medicare through January 14, 2028.

NPPES Registry Identity

NPI1245814854
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTARYN BROOKE PEMBERTONCredential: LMHCA
Location Address5526 E STOUGHTON RDValleyford, WA 99036-9791
Mailing AddressPo Box 462Valleyford, WA 99036-0462 · (509) 720-6853
Sole ProprietorNo
Enumeration DateMay 10, 2021
Last NPPES UpdateApril 23, 20242 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
NPI 1245814854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in WA · 61390627 Licensed in ID · 9415 Licensed in MT · 62686
5526 E STOUGHTON RD, Valleyford, WA 99036

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Taryn Brooke Pemberton Lmhca has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 14, 2024 through January 14, 2028.

Opt-Out Effective DateJanuary 14, 2024
Opt-Out In Effect ThroughJanuary 14, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Pemberton's NPI number?

The NPI number for Taryn Pemberton is 1245814854. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Where is Taryn Pemberton located?

Taryn Pemberton practices at 5526 E Stoughton Rd, Valleyford, WA 99036. The listed phone number is (509) 720-6853.

What is Taryn Pemberton's specialty?

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

Is Taryn Pemberton enrolled in Medicare?

No. Taryn Pemberton has opted out of Medicare through January 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Taryn Pemberton was last updated on April 23, 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.