MS. TY'ESHA SHONTAE TAYLOR LPC
NPI 1538004247
Counselor - Professional in Tyler, TX

Q: What is Ty'esha Taylor's NPI number?

The NPI number for Ty'esha Taylor is 1538004247. It was assigned to this individual provider in the NPPES registry on April 20, 2026.

Q: What is Ty'esha Taylor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ty'esha Taylor was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 20, 2026PECOS Enrolled

2627 S BROADWAY AVE UNIT 6334, TYLER, TX 75711(903) 372-6797 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ms. Ty'esha Shontae Taylor Lpc NPPES

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

MS. TY'ESHA SHONTAE TAYLOR LPC (NPI 1538004247) is an individual professional provider in Tyler, Texas, licensed in Texas (89971) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1538004247

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. TY'ESHA SHONTAE TAYLORCredential: LPC

Location Address2627 S BROADWAY AVE UNIT 6334Tyler, TX 75711-4217

Mailing Address2627 S Broadway AveTyler, TX 75711-4201 · (903) 372-6797

Phone(903) 372-6797

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 20, 2026

Last NPPES UpdateApril 21, 2026

NPPES CertifiedApril 21, 2026

✔ NPI 1538004247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TX · 89971

2627 S BROADWAY AVE UNIT 6334, Tyler, TX 75711

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Ty'esha Shontae Taylor Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113483454

PECOS Enrollment IDI20260728001781

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 Ty'esha Taylor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Camella M Jones Counseling And Associates LLC

12 mi

Mental Health

104 ROSEBROOK CIR
Whitehouse, TX 75791

Reassigned Medicare billing, Texas enrollment
3 clinicians in this Medicare group

NPI 1932639481 (903) 283-7726

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

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

ANGELINA SHARESE MARTINEZ LPC

Counselor (Professional)

2627 S BROADWAY AVE UNIT 6334
TYLER, TX 75711

Smith County (903) 343-2533

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 Ty'esha Taylor's NPI number?

The NPI number for Ty'esha Taylor is 1538004247. It was assigned to this individual provider in the NPPES registry on April 20, 2026.

Where is Ty'esha Taylor located?

Ty'esha Taylor practices at 2627 S Broadway Ave Unit 6334, Tyler, TX 75711. The listed phone number is (903) 372-6797.

What is Ty'esha Taylor's specialty?

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

Is Ty'esha Taylor enrolled in Medicare?

Yes. Ty'esha Taylor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ty'esha Taylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ty'esha Taylor reassigns Medicare benefits to Camella M Jones Counseling And Associates LLC (Whitehouse, TX). 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 Ty'esha Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ty'esha Taylor accept?

Health plans from Blue Cross and Blue Shield of Texas list Ty'esha Taylor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ty'esha Taylor was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.