Calandrea Taylor

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2629 Issued in MS

Practice address

101 Avalon CT Ste B
Brandon, MS 39047-7641

Phone

(601) 759-1104

NPI assigned

Nov 17, 2014

Last updated

Feb 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Refuge Wellness Health Services LLC

  dba The Refuge

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jackson, MS
  • NPI 1255078242
  NPD Authorized official

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1043616105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PELAHATCHIE SHORE DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476282",
            "telephone_number": "601-383-8408",
            "fax_number": "601-321-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AVALON CT STE B",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477641",
            "telephone_number": "601-759-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CALANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "3407",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Eyecare, Inc.
• Abigail J Taylor
• Alisha Taylor
• Amber Taylor, NP
• Anna Pope Taylor, O.D.
• Deborah R Taylor, LMSW
• Kathryn Grace Taylor, M.D.
• Meseret Teferra
• Anna Garrett Terry, OTR/L
• Hannah Louise Terry

• Professional Counselor in Brandon, MS
• Providers in Brandon, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.