Individual provider Active NPI

Taylor Marie Tica, MA, LPCC

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1912436205
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8880 Rio San Diego Dr Ste 800
San Diego, CA 92108-1642
Phone
(760) 557-5572
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

8880 Rio San Diego Dr Ste 800
San Diego, CA 92108-1642

Mailing address

8880 Rio San Diego Dr Ste 800
San Diego, CA 92108-1642
Phone (760) 557-5572

Other practice location 1

1465 30th St Ste K
San Diego, CA 92154-3497
Phone (619) 428-1000

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Clinical Counseling, a Mental Health Current Accepting new patients
Community Research Foundation Inc Past Accepting new patients

Locations

8880 Rio San Diego Dr
Ste 800
San Diego, CA 92108
Phone (562) 208-5327

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1912436205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 RIO SAN DIEGO DR STE 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081642",
            "telephone_number": "760-557-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 RIO SAN DIEGO DR STE 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081642",
            "telephone_number": "760-557-5572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1465 30th St Ste K",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921543497",
            "country_code": "US",
            "telephone_number": "619-428-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TICA",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.