Mitchell Taylor, LPC-A

Primary specialty

CounselorTaxonomy code 101Y00000X

License

86759 Issued in TX

Practice address

3740 N Josey LN Ste 145
Carrollton, TX 75007-2471

Phone

(469) 701-2333

NPI assigned

Aug 18, 2021

Sex

Male

Sole proprietor

No

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.

• Geode Health of Texas, PLLC

  • Psychiatry Physician
  • Allen, TX
  • NPI 1851037162
  Medicare reassignment Care Compare group NPD TX
• BSW Geode Clinicians of Texas PLLC

  • Psychiatry Physician
  • Allen, TX
  • NPI 1790482834
  Medicare reassignment NPD TX
• Redefined Intimacy Therapy, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Frisco, TX
  • NPI 1841899820
  NPD (past)

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Geode Health of Texas, PLLC 158 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in TX

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.

Medicare enrollment (NPD)

Enrolled

Practice roles (3 of 6)

Locations

Networks

• NM HMO C-SNP
• TX HMO D-SNP
• TX HMO

Interoperability endpoints

• Direct secure messaging: mitchell.taylor.1@25899.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 18, 2021.

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1003582115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 N JOSEY LN STE 145",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072471",
            "telephone_number": "469-701-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 N JOSEY LN STE 145",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072471",
            "telephone_number": "469-701-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MITCHELL",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "86759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Yvette Taylor
• Jodie Sue Taylor, MT
• Keidra Nicole Taylor
• Martha Jo Taylor, LPC & LMFT
• Martha Lynn Taylor, CCC-SLP
• Moirae Michelle Taylor, MD
• Tcid PLLC
• Teach Me LLC
• Tech Source Ventures LLC
• Tech Source Ventures LLC

• All providers in Carrollton, TX
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.