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TRISTAN T TAYLOR LCSW
NPI 1811624208
Counselor - Mental Health in Rancho Cascades, CA

Active since August 04, 2022PECOS EnrolledAccepts Medicare Assignment
16605 FOOTHILL BLVD APT 205, RANCHO CASCADES, CA 91342(213) 267-2537 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tristan T Taylor Lcsw NPPES

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

TRISTAN T TAYLOR LCSW (NPI 1811624208) is an individual mental health provider in Rancho Cascades, California, licensed in California (LCSW109536) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1811624208
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTRISTAN T TAYLORCredential: LCSW
Location Address16605 FOOTHILL BLVD APT 205Rancho Cascades, CA 91342-1170
Mailing Address16605 Foothill Blvd Apt 205Rancho Cascades, CA 91342-1170 · (213) 267-2537
Phone(213) 267-2537
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 4, 2022
NPPES CertifiedAugust 4, 2022
✔ NPI 1811624208 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 · LCSW109536
16605 FOOTHILL BLVD APT 205, Rancho Cascades, CA 91342
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Tristan T Taylor Lcsw 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 ID3274033832
PECOS Enrollment IDI20250826005118
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.

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 Tristan Taylor's NPI number?

The NPI number for Tristan Taylor is 1811624208. It was assigned to this individual provider in the NPPES registry on August 4, 2022.

Where is Tristan Taylor located?

Tristan Taylor practices at 16605 Foothill Blvd Apt 205, Rancho Cascades, CA 91342. The listed phone number is (213) 267-2537.

What is Tristan Taylor's specialty?

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

Is Tristan Taylor enrolled in Medicare?

Yes. Tristan Taylor 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 Tristan Taylor was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.