JERRON DEPAUL TATUM
NPI 1982369468
Marriage & Family Therapist in Los Angeles, CA

Q: What is Jerron Tatum's NPI number?

The NPI number for Jerron Tatum is 1982369468. It was assigned to this individual provider in the NPPES registry on November 1, 2021.

Q: What is Jerron Tatum's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jerron Tatum was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 November 01, 2021PECOS Enrolled

990 VILLA STREET, MOUTAIN VIEW, CA, LOS ANGELES, CA 90043(888) 688-9296 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2025, Nov 1, 2021 (2 updates tracked since 2021).

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About Jerron Depaul Tatum NPPES

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

JERRON DEPAUL TATUM (NPI 1982369468) is an individual marriage & family therapist in Los Angeles, California, licensed in California (133341) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982369468

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameJERRON DEPAUL TATUM

Location Address990 VILLA STREET, MOUTAIN VIEW, CALos Angeles, CA 90043

Mailing Address550 W Regent St Apt 305Inglewood, CA 90301-1044 · (323) 703-3278

Phone(888) 688-9296

Sole ProprietorYes

Enumeration DateNovember 1, 2021

Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2025

✔ NPI 1982369468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 133341

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

990 VILLA STREET, MOUTAIN VIEW, CA, Los Angeles, CA 90043

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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 (PECOS)

Jerron Depaul Tatum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jerron Tatum's NPI number?

The NPI number for Jerron Tatum is 1982369468. It was assigned to this individual provider in the NPPES registry on November 1, 2021.

Where is Jerron Tatum located?

Jerron Tatum practices at 990 Villa Street, Moutain View, Ca, Los Angeles, CA 90043. The listed phone number is (888) 688-9296.

What is Jerron Tatum's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jerron Tatum enrolled in Medicare?

Yes. Jerron Tatum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerron Tatum was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.