TERESHA WENDE TAYLOR
NPI 1861932402
Counselor - Mental Health in Chula Vista, CA

Q: What is Teresha Taylor's NPI number?

The NPI number for Teresha Taylor is 1861932402. It was assigned to this individual provider in the NPPES registry on March 1, 2017.

Q: What is Teresha Taylor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Teresha Taylor was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 01, 2017PECOS EnrolledAccepts Medicare Assignment

1161 BAY BLVD STE B, CHULA VISTA, CA 91911(619) 585-7686(619) 585-7699 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 21, 2019, Mar 1, 2017 (2 updates tracked since 2017).

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About Teresha Wende Taylor NPPES

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

TERESHA WENDE TAYLOR (NPI 1861932402) is an individual mental health provider in Chula Vista, California and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1861932402

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameTERESHA WENDE TAYLOR

Location Address1161 BAY BLVD STE BChula Vista, CA 91911-2670

Mailing Address1161 Bay Blvd Ste BChula Vista, CA 91911-2670 · (619) 585-7686 · Fax (619) 585-7699

Phone(619) 585-7686

Fax(619) 585-7699

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 1, 2017

Last NPPES UpdateAugust 21, 20192 updates tracked since enumeration

✔ NPI 1861932402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedTechnician, OtherTaxonomy 247200000X

1161 BAY BLVD STE B, Chula Vista, CA 91911

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Secondary Practice Location 1

Location 16540 Lusk Blvd Ste C256San Diego, CA 92121-5795 · Phone (877) 264-6747 · Fax (877) 539-7730

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

Teresha Wende Taylor 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 ID1456878545

PECOS Enrollment IDI20250513000404

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.

ALDO ORTIZ PIZANO

Social Worker (Clinical)