Individual provider Active NPI

Taylor N Mashaw, LPC

  • Professional Counselor
  • Ruston, LA
National Provider Identifier
1013796440
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8624 Issued in LA
Practice address
622 Burgessville Rd
Ruston, LA 71270-5154
Phone
(318) 225-7223
Fax
(318) 415-1004
NPI assigned
Sep 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8624 LA
Professional Counselor 101YP2500X 8624 LA Primary

Addresses

Primary practice location

622 Burgessville Rd
Ruston, LA 71270-5154

Mailing address

115 Baywood LN
Ruston, LA 71270-5672

Other identifiers 1

IdentifierTypeStateIssuer
3002956MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241217002786 LA Practitioner - Mental Health Counselor 7810348224 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8624LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thinktrek LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

3018 Old Minden Rd
Ste 1200
Bossier City, LA 71112
Phone (318) 224-7223

206 E Reynolds Dr
Ste F2
Ruston, LA 71270
Phone (318) 224-7223

622 Burgessville Rd
Ruston, LA 71270
Phone (318) 224-7223

Networks

  • LA PPO C-SNP

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1013796440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BAYWOOD LN",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 BURGESSVILLE RD",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705154",
            "telephone_number": "318-225-7223",
            "fax_number": "318-415-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHAW",
        "first_name": "TAYLOR",
        "middle_name": "N",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "8624",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "8624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3002956",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.