Organization Active NPI

Taylor Made Counseling, LLC

  • Professional Counselor
  • Midwest City, OK
National Provider Identifier
1073005674
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6495 Issued in OK
Legal business name
TAYLOR MADE COUNSELING, LLC
Practice address
2801 Parklawn Dr
Midwest City, OK 73110-4211
Phone
(405) 615-4841
NPI assigned
May 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Tessica R Taylor, M.ED., LPCNPI 1477068211
Title
Licensed Professional Counselor
Phone
(405) 615-4841

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 6495 OK Primary

Addresses

Primary practice location

2801 Parklawn Dr
Midwest City, OK 73110-4211

Mailing address

17789 E Charter Oak Rd
Luther, OK 73054-9583
Phone (405) 615-4841

Other practice location 1

17789 E Charter Oak Rd
Luther, OK 73054-9583
Phone (405) 615-4841

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1073005674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17789 E CHARTER OAK RD",
            "city": "LUTHER",
            "state": "OK",
            "postal_code": "730549583",
            "telephone_number": "405-615-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PARKLAWN DR",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104211",
            "telephone_number": "405-615-4841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17789 E Charter Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Luther",
            "state": "OK",
            "postal_code": "730549583",
            "country_code": "US",
            "telephone_number": "405-615-4841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAYLOR MADE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TESSICA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "405-615-4841",
        "authorized_official_credential": "M.ED., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "6495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.