Taisha I Mercogliano, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

202 E Airport Dr Ste 265
San Bernardino, CA 92408-3444

Phone

(909) 939-5007

NPI assigned

Feb 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Theraville Counseling Services, a LCSW Corporation

  • Clinical Social Worker
  • San Bernardino, CA
  • NPI 1366084360
  NPD

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1366748451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E AIRPORT DR STE 265",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083444",
            "telephone_number": "909-939-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E AIRPORT DR STE 265",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083444",
            "telephone_number": "909-939-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCOGLIANO",
        "first_name": "TAISHA",
        "middle_name": "I",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.theravillecounselingservices.com/",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "202 E Airport Dr Ste 265",
            "city": "San Bernardino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "924083444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Manuel Garcia Mercado
• Nicole Mercado
• Sebastian Mercado
• Mercedes Canizalez
• Janell Elizabeth Mercer, LMFT
• Meridian Medical Resources, Inc.
• Merit Ipa
• Merito House Residential Treatment Program
• Maya Merren
• Tamika Celita Merriwether, REGISTERED NURSE MSN

• Mental Health Counselor in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.