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TYLER EUGENE GOULET
NPI 1508587817
Counselor - Professional in Berkeley, CA

Active since September 06, 2022PECOS Enrolled
2150 SHATTUCK AVE STE 725, BERKELEY, CA 94704(855) 501-1004 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 16, 2026, Apr 7, 2023, Sep 12, 2022 and 1 more (4 updates tracked since 2022).

About Tyler Eugene Goulet NPPES

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

TYLER EUGENE GOULET (NPI 1508587817) is an individual professional provider in Berkeley, California, licensed in California (13521) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in El Sobrante, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1508587817
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTYLER EUGENE GOULET
Location Address2150 SHATTUCK AVE STE 725Berkeley, CA 94704-1364
Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954
Phone(855) 501-1004
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 6, 2022
Last NPPES UpdateJuly 16, 20264 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1508587817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · 13521
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2150 SHATTUCK AVE STE 725, Berkeley, CA 94704
Open in Google Maps ↗

Secondary Practice Location 1

Location 14892 San Pablo Dam RdEl Sobrante, CA 94803-3222 · Phone (510) 222-3946

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Eugene Goulet is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597221218
PECOS Enrollment IDI20260731004249
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.

Medicare Billing Reassignment

Medicare enrollment records show Tyler Goulet reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mark David Levine, MD Oakland PC
4.8 mi
Psychiatry
827 BROADWAY, SUITE 300
Oakland, CA 94607
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Mark David Levine MD Professional Corporation
  • 329 clinicians in this Medicare group
NPI 1902022379 (510) 834-2049

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 10

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

KIERSTAN A STREBER LCSW
Social Worker (Clinical)
2150 SHATTUCK AVE STE 725
BERKELEY, CA 94704
Alameda County (855) 501-1004
KRISTEN FRANCES NELSON FNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2150 SHATTUCK AVE STE 725
BERKELEY, CA 94704
Alameda County (510) 899-6220
CARRIE JANE MARGARET GERSHOFF LPC
Counselor (Professional)
2150 SHATTUCK AVE STE 725
BERKELEY, CA 94704
Alameda County (855) 501-1004
BROOKE BROWNLEE
Counselor (Professional)
2150 SHATTUCK AVE STE 725
BERKELEY, CA 94704
Alameda County (855) 501-1004
ELIZABETH AVA GORDON ASW
Social Worker (Clinical)
2150 SHATTUCK AVE STE 725
BERKELEY, CA 94704
Alameda County (855) 501-1004
SARA PAREDES
Nurse Practitioner (Psychiatric/Mental Health)
2150 SHATTUCK AVE STE 725
BERKELEY, CA 94704
Alameda County (855) 501-1004
SATOKO MIYAMOTO D.O.
Psychiatry & Neurology (Psychiatry)
2150 SHATTUCK AVE STE 725
BERKELEY, CA 94704
Alameda County (855) 501-1004
SARA AU LPCC
Counselor (Professional)
2150 SHATTUCK AVE STE 725
BERKELEY, CA 94704
Alameda County (855) 501-1004

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 Tyler Goulet's NPI number?

The NPI number for Tyler Goulet is 1508587817. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Where is Tyler Goulet located?

Tyler Goulet practices at 2150 Shattuck Ave Ste 725, Berkeley, CA 94704. The listed phone number is (855) 501-1004.

What is Tyler Goulet's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tyler Goulet enrolled in Medicare?

Yes. Tyler Goulet is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tyler Goulet's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Goulet reassigns Medicare benefits to Mark David Levine, MD Oakland PC (Oakland, 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 Tyler Goulet'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 Tyler Goulet was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.