Active NPI
Kendra Taylor
- Mental Health Counselor
- Tamuning, GU
National Provider Identifier
1053012815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-176
- Practice address
- 790 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3129 - Phone
- (671) 685-7012
- NPI assigned
- Mar 16, 2023
- Last updated
- Mar 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-176 | GU | Primary |
Addresses
Primary practice location
790 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3129
Mailing address
PO Box 1235
Hagatna, GU 96932-1235
Phone (671) 685-7012
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 |
|---|---|---|---|
| LPC-176 | GU | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1053012815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1235",
"city": "HAGATNA",
"state": "GU",
"postal_code": "969321235",
"telephone_number": "671-685-7012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 GOV CARLOS G CAMACHO RD",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133129",
"telephone_number": "671-685-7012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "KENDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-16",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GU",
"license": "LPC-176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tamuning, GU
- Takecare Insurance Company Inc. (FHP Health Center)
- Takecare Insurance Company, Inc. (FHP Health Center)
- Takecare Insurance Company, Inc. (FHP Health Center)
- Elena Kirilova Taneva-Cholakova, FNP-BC
- Tanom Medical PC
- Laura Taylor, M.D.
- Sonita Chuo Tem, MD
- Ricardo Mark Terlaje, M.D.
- Mo-Ping Marlene Tham, DO
- Kamala Thanapandian, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.