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TASHA EDDY
NPI 1366814048
Counselor - Mental Health in Long Beach, CA

Active since October 21, 2015PECOS EnrolledAccepts Medicare Assignment
3530 ATLANTIC AVE, SUITE 210, LONG BEACH, CA 90807(562) 424-1886(562) 424-2296 Get Directions Write a Review

NPPES record last updated: October 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tasha Eddy NPPES

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

TASHA EDDY (NPI 1366814048) is an individual mental health provider in Long Beach, California, licensed in California (ASW67992) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1366814048
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTASHA EDDY
Location Address3530 ATLANTIC AVE, SUITE 210Long Beach, CA 90807-4569
Mailing Address3530 Atlantic Ave, Suite 210Long Beach, CA 90807-4569 · (562) 424-1886 · Fax (562) 424-2296
Phone(562) 424-1886
Fax(562) 424-2296
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 21, 2015
Last NPPES UpdateOctober 21, 2016
✔ NPI 1366814048 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 · ASW67992
3530 ATLANTIC AVE, Long Beach, CA 90807
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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 and accepts Medicare assignment

Tasha Eddy 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 ID9335678879
PECOS Enrollment IDI20250128003710
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.

JANET DELGADO DE PARRA
Case Manager/Care Coordinator
3530 ATLANTIC AVE
LONG BEACH, CA 90807
Los Angeles County (562) 424-1886
CATHERINE LE PA
Physician Assistant
3530 ATLANTIC AVE
LONG BEACH, CA 90807
Los Angeles County (562) 988-8818
MISS SOFIA SUBHAN
Counselor (Mental Health)
3530 ATLANTIC AVE, STE. 210
LONG BEACH, CA 90807
Los Angeles County (562) 424-1886
SOPHA NHEV
Case Manager/Care Coordinator
3530 ATLANTIC AVE, SUIT #210
LONG BEACH, CA 90807
Los Angeles County (562) 424-1886
MR. RICHER SAN
Community Health Worker
3530 ATLANTIC AVE
LONG BEACH, CA 90807
Los Angeles County (562) 424-1886
MS. GRACE SUNGUN KIM MS.,MFT
Marriage & Family Therapist
3530 ATLANTIC AVE
LONG BEACH, CA 90807
Los Angeles County (562) 424-1886
NICOLE YBANEZ
Social Worker (Clinical)
3530 ATLANTIC AVE
LONG BEACH, CA 90807
Los Angeles County (562) 424-1886
DR. PATRICK LAURO O.D.
Optometrist
3530 ATLANTIC AVE, STE 106
LONG BEACH, CA 90807
Los Angeles County (562) 424-6938

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 Tasha Eddy's NPI number?

The NPI number for Tasha Eddy is 1366814048. It was assigned to this individual provider in the NPPES registry on October 21, 2015.

Where is Tasha Eddy located?

Tasha Eddy practices at 3530 Atlantic Ave Suite 210, Long Beach, CA 90807. The listed phone number is (562) 424-1886.

What is Tasha Eddy's specialty?

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

Is Tasha Eddy enrolled in Medicare?

Yes. Tasha Eddy 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 Tasha Eddy was last updated on October 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.