Individual provider Active NPI

Tayler Danielle Deamon, LMFT

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1457851958
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
120266 Issued in CA
Practice address
3434 Via Lido Ste 200
Newport Beach, CA 92663-3967
Phone
(949) 409-5069
NPI assigned
Feb 20, 2018
Last updated
Sep 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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 103666 CA
Marriage & Family Therapist 106H00000X 120266 CA Primary

Addresses

Primary practice location

3434 Via Lido Ste 200
Newport Beach, CA 92663-3967

Mailing address

608 Olive Ave
Huntington Beach, CA 92648-5012
Phone (949) 409-5069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
103666CAMDMental Health Counselor
120266CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1457851958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 OLIVE AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485012",
            "telephone_number": "949-409-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 VIA LIDO STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633967",
            "telephone_number": "949-409-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAMON",
        "first_name": "TAYLER",
        "middle_name": "DANIELLE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "103666",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.