Individual provider Active NPI

Diann Laurine Taylor, LPCC

  • Professional Counselor
  • Santa Fe, NM
National Provider Identifier
1043988777
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0218501 Issued in NM
Practice address
4000 Old Pecos TRL
Santa Fe, NM 87508-9060
Phone
(214) 288-3896
NPI assigned
Aug 30, 2021
Last updated
Aug 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CCMH0218501 NM Primary

Addresses

Primary practice location

4000 Old Pecos TRL
Santa Fe, NM 87508-9060

Mailing address

4000 Old Pecos TRL
Santa Fe, NM 87508-9060
Phone (214) 288-3896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CCMH0218501NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Las Cruces, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

530 N Church St
Las Cruces, NM 88001
Phone (575) 526-9878

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1043988777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 OLD PECOS TRL",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875089060",
            "telephone_number": "214-288-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 OLD PECOS TRL",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875089060",
            "telephone_number": "214-288-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DIANN",
        "middle_name": "LAURINE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0218501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.