Individual provider Active NPI

Taylor Stan Ocasio, LPC

  • Mental Health Counselor
  • Beaverton, OR
National Provider Identifier
1033876560
Registry record updated Jul 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C6904 Issued in OR
Practice address
14215 SW Teal Blvd Apt E
Beaverton, OR 97008-4371
Phone
(503) 877-9881
NPI assigned
Nov 18, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R6249 OR
Mental Health Counselor 101YM0800X C6904 OR Primary

Addresses

Primary practice location

14215 SW Teal Blvd Apt E
Beaverton, OR 97008-4371

Mailing address

14215 SW Teal Blvd Apt E
Beaverton, OR 97008-4371
Phone (360) 448-0670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241111003906 OR Practitioner - Mental Health Counselor 7618401837 Practice locations: Milwaukie, OR
I20250828001937 WA Practitioner - Mental Health Counselor 7618401837 Practice locations: Vancouver, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13310 NE 88TH Cir
Vancouver, WA 98682-3078
Phone (503) 877-9881

15315 NE 44TH St
Vancouver, WA 98682-7140

2900 NE 7TH Ave
PH 4904
Miami, FL 33137-4393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R6249ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Titan Mental Health LLC Mental Health CurrentSince Jul 17, 2022 Accepting new patients
Taylor Ocasio Counseling LLC Mental Health CurrentSince Jul 23, 2023 Accepting new patients
Taylor Ocasio Counseling LLC Mental Health CurrentSince Mar 24, 2025 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657929600000",
    "number": "1033876560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14215 SW TEAL BLVD APT E",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970084371",
            "telephone_number": "360-448-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14215 SW TEAL BLVD APT E",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970084371",
            "telephone_number": "503-877-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCASIO",
        "first_name": "TAYLOR",
        "middle_name": "STAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-18",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R6249",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C6904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.