Taryn Crockerham, LMFT
NPI 1154727121ActiveIndividual· Marriage & Family Therapist· Santa Clara, CA
Marriage & Family Therapist (LMFT) with Permanente Medical Group Inc, practicing in Santa Clara, California. Enrolled in Medicare as practitioner - marriage and family therapist.
Overview
| NPI | 1154727121 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMFT |
| Sole proprietor | No |
| NPI issued | Nov 18, 2014 |
| Last updated in NPPES | Aug 6, 2024 |
| Certified by provider | Jun 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 106510 | CA |
| Psychologist | 103T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Marriage and Family Therapist (CA) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Marriage And Family Therapist |
Medical group
- Permanente Medical Group IncOakland, CA · 10,996 clinicians
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