KATHLEEN NGUYEN TA MSW
NPI 1336796457
Counselor - Mental Health in Los Angeles, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathleen Nguyen Ta Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Ta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
LOS ANGELES, CA 90017
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 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.
Where is Kathleen Ta located?
Kathleen Ta practices at 515 Columbia Ave # 200, Los Angeles, CA 90017. The listed phone number is (213) 249-9388.
What is Kathleen Ta's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kathleen Ta enrolled in Medicare?
Yes. Kathleen Ta is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kathleen Ta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Ta reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Ta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathleen Ta was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kathleen Nguyen Ta, MSW · NPI 1336796457
Mental Health provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since August 22, 2019.
## Identity
- **NPI:** 1336796457 (Entity type: Individual)
- **Enumerated:** August 22, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 95325 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 515 COLUMBIA AVE # 200, Los Angeles, CA 90017-1209
- **Phone:** (213) 249-9388 · **Fax:** (213) 389-7993
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 6, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1336796457) · Data from the CMS NPPES public registry.