KATHLEEN NGUYEN TA MSW
NPI 1336796457
Counselor - Mental Health in Los Angeles, CA

Q: What is Kathleen Ta's NPI number?

The NPI number for Kathleen Ta is 1336796457. It was assigned to this individual provider in the NPPES registry on August 22, 2019.

Q: What is Kathleen Ta'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 Kathleen Ta was last updated on July 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 22, 2019PECOS Enrolled

515 COLUMBIA AVE # 200, LOS ANGELES, CA 90017(213) 249-9388(213) 389-7993 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 6, 2020, Aug 22, 2019 (2 updates tracked since 2019).

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About Kathleen Nguyen Ta Msw NPPES

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

KATHLEEN NGUYEN TA MSW (NPI 1336796457) is an individual mental health provider in Los Angeles, California, licensed in California (95325) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336796457

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKATHLEEN NGUYEN TACredential: MSW

Location Address515 COLUMBIA AVE # 200Los Angeles, CA 90017-1209

Mailing Address515 Columbia Ave # 200Los Angeles, CA 90017-1209

Phone(213) 249-9388

Fax(213) 389-7993

Sole ProprietorNo

Enumeration DateAugust 22, 2019

Last NPPES UpdateJuly 6, 20202 updates tracked since enumeration

NPPES CertifiedJuly 6, 2020

✔ NPI 1336796457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · 95325

515 COLUMBIA AVE # 200, Los Angeles, CA 90017

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Nguyen Ta Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

VI NAM NGUYEN

Marriage & Family Therapist