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Tylen Baker

Counselor - Professional β€’ Modesto, CA

Active NPI 1336981869 Individual Practitioner Male Practitioner
Practice location in NPPES

121 Downey Ave
Modesto, CA 953541208

Call 2093411824 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

121 Downey Ave

Modesto, CA 953541208

Telephone 2093411824
Organization at the Same NPPES Address or Phone
Telecare Corporation Facility NPI 1356427413

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Modesto and California

263 active clinicians are listed under Counselor - Professional with a practice address in Modesto, CA (3,967 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Modesto

0% of these 263 clinicians have the CMS telehealth indicator.

1.1% of these 263 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-22
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Diane Crayton , FNP

Nurse Practitioner - Family

NPI 1184748956

Family Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location June 22, 2026

Registered at 121 DOWNEY AVE, MODESTO, CA 953541208 (Tel: 2093411824)

πŸ“
Updated Business Mailing Address June 22, 2026

Registered at 121 DOWNEY AVE, MODESTO, CA 953541208 (Tel: 2093411824)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2026

Counselor

πŸ“
Updated Practice Location November 24, 2025

Registered at 416 CORSON AVE, MODESTO, CA 953505408 (Tel: 2095507352)

πŸ“
Updated Business Mailing Address November 24, 2025

Registered at 416 CORSON AVE, MODESTO, CA 953505408 (Tel: 2095211805)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2025

Student in an Organized Health Care Education/Training Program

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2025

Adult Companion

βœ…
NPI Profile Active June 06, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 06, 2024

Registered at 1620 CUMMINS DR, MODESTO, CA 953586400 (Tel: 2095761750)

πŸ“
Business Mailing Address (Initial Record) June 06, 2024

Registered at 1620 CUMMINS DR, MODESTO, CA 953586400

πŸ‘€
Provider Name / Credentials (Initial Record) June 06, 2024

Recorded as TYLEN BAKER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2024

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration June 06, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1336981869
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2024
Last Update: June 22, 2026
Sole Proprietor: No

Mailing Address

121 Downey Ave

Modesto, CA 953541208

Phone: 2093411824

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.