Active NPI
John R Taylor, LPC-S
- Mental Health Counselor
- Mason, TX
National Provider Identifier
1003834144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 20318
- Practice address
- 1310 Martin
Mason, TX 76856 - Phone
- (325) 260-8044
- NPI assigned
- Jul 17, 2006
- Last updated
- Sep 18, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11217-0506 | TX | |
| Mental Health Counselor | 101YM0800X | 20318 | TX | Primary |
Addresses
Primary practice location
1310 Martin
Mason, TX 76856
Mailing address
PO Box 1048
Mason, TX 76856-1048
Phone (325) 260-8044
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 |
|---|---|---|---|
| 11217-0506 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 20318 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410998400000",
"number": "1003834144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1048",
"city": "MASON",
"state": "TX",
"postal_code": "768561048",
"telephone_number": "325-260-8044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 MARTIN",
"city": "MASON",
"state": "TX",
"postal_code": "76856",
"telephone_number": "325-260-8044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JOHN",
"middle_name": "R",
"credential": "LPC-S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2014-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "11217-0506",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "20318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.