Tyisha Merritt

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-QXSVAO Issued in CA

Practice address

391 Taylor Blvd Ste 100
Pleasant Hill, CA 94523-2289

Phone

(925) 608-6550

Fax

(925) 608-6592

NPI assigned

Dec 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Contra Costa County

  • Adolescent and Children Mental Health Clinic/Center
  • Pleasant Hill, CA
  • NPI 1447509351
  NPD (past)

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1770028110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 OAK GROVE RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945183225",
            "telephone_number": "925-681-4450",
            "fax_number": "925-646-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 TAYLOR BLVD STE 100",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232289",
            "telephone_number": "925-608-6550",
            "fax_number": "925-608-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "TYISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-QXSVAO",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Mendoza
• Rowena Torres Mengotto
• Menm, LLC
• Bryanna Lucita Menor
• Joel Merical
• Nicole Michael Mesita, RD
• Melissa Emily Metcalf
• Diana Cheryl Methfessel, MA MFT
• Tara Meunier
• MGM Home Healthcare LLC

• Peer Specialist in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.