Active NPI
Heather Taylor, MA LPCC
- Professional Counselor
- Crookston, MN
National Provider Identifier
1053691436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 315
- Practice address
- 603 Bruce St
Crookston, MN 56716-2914 - Phone
- (218) 281-3940
- Fax
- (218) 281-6261
- NPI assigned
- Aug 17, 2011
- Last updated
- Aug 17, 2011
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 315 | MN | Primary |
Addresses
Primary practice location
603 Bruce St
Crookston, MN 56716-2914
Mailing address
603 Bruce St
Crookston, MN 56716-2914
Phone (218) 281-3940
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 315 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313539200000",
"number": "1053691436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 BRUCE ST",
"city": "CROOKSTON",
"state": "MN",
"postal_code": "567162914",
"telephone_number": "218-281-3940",
"fax_number": "218-281-6261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 BRUCE ST",
"city": "CROOKSTON",
"state": "MN",
"postal_code": "567162914",
"telephone_number": "218-281-3940",
"fax_number": "218-281-6261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "HEATHER",
"credential": "MA LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-17",
"last_updated": "2011-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crookston, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.