Teresha Wende Taylor

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1161 Bay Blvd Ste B
Chula Vista, CA 91911-2670

Phone

(619) 585-7686

Fax

(619) 585-7699

NPI assigned

Mar 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sokyahealth Medical Group PCGroup PAC ID 8628463015, 180 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: teresha.taylor.p1@direct.sokya.nextgenshare.com

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.

• Sokyahealth Medical Group PC

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1942970330
  Medicare reassignment Care Compare group NPD
• Community Research Foundation

  • Community/Behavioral Health Agency
  • Chula Vista, CA
  • NPI 1720271448
  NPD (past)

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1861932402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 BAY BLVD STE B",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112670",
            "telephone_number": "619-585-7686",
            "fax_number": "619-585-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 BAY BLVD STE B",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112670",
            "telephone_number": "619-585-7686",
            "fax_number": "619-585-7699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6540 Lusk Blvd Ste C256",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921215795",
            "country_code": "US",
            "telephone_number": "877-264-6747",
            "fax_number": "877-539-7730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TERESHA",
        "middle_name": "WENDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome Taylor Jr.
• John-Luke Taylor
• Kendra Simone Taylor
• Mason Raymond Franklin Taylor
• Richard Paul Taylor, DMD
• Tiffany M Taylor, PT
• Torreon Taylor
• Martine Taynor, LCSW
• Lueng Tcheung, MD
• Ronagene Tecson

• Mental Health Counselor in Chula Vista, CA
• Providers in Chula Vista, 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 Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.