Active NPI
Brianna Taylor, LPC, TLLP
- Professional Counselor
- Holland, MI
National Provider Identifier
1003397266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401019803
- Practice address
- 854 Washington Ave Ste 600
Holland, MI 49423-7141 - Phone
- (616) 499-2218
- NPI assigned
- Aug 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6301017785 | MI | |
| Behavior Technician | 106S00000X | |||
| Professional Counselor | 101YP2500X | 6401019803 | MI | Primary |
Addresses
Primary practice location
854 Washington Ave Ste 600
Holland, MI 49423-7141
Mailing address
3727 Kaylee LN
Hudsonville, MI 49426-8464
Phone (269) 547-2131
Other practice location 1
2566 Woodmeadow Dr SE
Grand Rapids, MI 49546
Phone (616) 719-0194
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401019803 | MI | MD | Professional Counselor |
| 6301017785 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1003397266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3727 KAYLEE LN",
"city": "HUDSONVILLE",
"state": "MI",
"postal_code": "494268464",
"telephone_number": "269-547-2131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "854 WASHINGTON AVE STE 600",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494237141",
"telephone_number": "616-499-2218"
}
],
"practiceLocations": [
{
"address_1": "2566 Woodmeadow Dr SE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "49546",
"country_code": "US",
"telephone_number": "616-719-0194",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "BRIANNA",
"credential": "LPC, TLLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-26",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301017785",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401019803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.