Organization Active NPI

Taylor Made Counseling Services LLC

  • Clinical Social Worker
  • Biloxi, MS
National Provider Identifier
1023695004
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TAYLOR MADE COUNSELING SERVICES LLC
Practice address
232 Eisenhower Dr Ste B
Biloxi, MS 39531-3601
Phone
(601) 688-4118
Fax
(228) 220-4226
NPI assigned
Mar 26, 2021
Last updated
Mar 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Mrs. Tushonda Fleeton Boyd, LCSWNPI 1700966850
Title
Owner
Phone
(228) 760-0262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

232 Eisenhower Dr Ste B
Biloxi, MS 39531-3601

Mailing address

PO Box 6771
Diberville, MS 39540-6771
Phone (228) 760-0262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230621000393 MS Part B Supplier - Clinic/Group Practice 5799143996 Receives reassigned benefits from 1 practitioner
Practice locations: Biloxi, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1023695004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6771",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395406771",
            "telephone_number": "228-760-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 EISENHOWER DR STE B",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395313601",
            "telephone_number": "601-688-4118",
            "fax_number": "228-220-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR MADE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "TUSHONDA",
        "authorized_official_middle_name": "FLEETON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-760-0262",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.