Individual provider Active NPI

Jeffrey Matthew Taylor, ASW139634

  • Mental Health Counselor
  • Redding, CA
National Provider Identifier
1700592045
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
139634 Issued in CA
Practice address
2750 Eureka Way Ste 101
Redding, CA 96001-0251
Phone
(530) 224-5469
NPI assigned
Jan 30, 2023
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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 139634 CA Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

2750 Eureka Way Ste 101
Redding, CA 96001-0251

Mailing address

2750 Eureka Way Ste 101
Redding, CA 96001-0251
Phone (530) 224-5469

Other practice location 1

1401 Gold St Ste B
Redding, CA 96001-1937
Phone (530) 691-4446 ext. 6204

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

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1700592045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 EUREKA WAY STE 101",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010251",
            "telephone_number": "530-224-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 EUREKA WAY STE 101",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010251",
            "telephone_number": "530-224-5469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Gold St Ste B",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960011937",
            "country_code": "US",
            "telephone_number": "530-691-4446 x6204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JEFFREY",
        "middle_name": "MATTHEW",
        "credential": "ASW139634",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "139634",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.