NPIMap

Organization Active NPI

Taylormade Counseling & Consulting, LLC

  • Mental Health Counselor
  • Wildomar, CA
National Provider Identifier
1801486048
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TAYLORMADE COUNSELING & CONSULTING, LLC
Practice address
36330 Hidden Springs Rd # E6
Wildomar, CA 92595-5803
Phone
(951) 500-7636
NPI assigned
Jan 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Debra Taylor
Title
Office Admin/Billing
Phone
(951) 500-7636

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Addiction (Substance Use Disorder) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0400X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

36330 Hidden Springs Rd # E6
Wildomar, CA 92595-5803

Mailing address

36330 Hidden Springs Rd Ste E
Wildomar, CA 92595-5804
Phone (951) 500-7636

Other names 1

  • Taylormade Counseling & Consulting Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250905001366 CA Part B Supplier - Clinic/Group Practice 0345742771 Receives reassigned benefits from 2 practitioners
Practice locations: Wildomar, CA

National Provider Directory

National Provider Directory

Locations

36330 Hidden Springs Rd
#E6
Wildomar, CA 92595
Phone (951) 500-7636

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1801486048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36330 HIDDEN SPRINGS RD STE E",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925955804",
            "telephone_number": "951-500-7636",
            "fax_number": "951-848-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36330 HIDDEN SPRINGS RD # E6",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925955803",
            "telephone_number": "951-500-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLORMADE COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OFFICE ADMIN/BILLING",
        "authorized_official_telephone_number": "951-500-7636"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylormade Counseling & Consulting",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Taylormade Counseling & Consulting",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wildomar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.