Active NPI
Taylour Gillett, MA, LPC, NCC
- Professional Counselor
- Clinton Township, MI
National Provider Identifier
1073030615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401017777
- Practice address
- 18901 15 Mile Rd
Clinton Township, MI 48035-2504 - Phone
- (586) 305-0448
- NPI assigned
- Aug 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401016134 | MI | |
| School Counselor | 101YS0200X | SC0000000946263 | MI | |
| Professional Counselor | 101YP2500X | 6401017777 | MI | Primary |
Addresses
Primary practice location
18901 15 Mile Rd
Clinton Township, MI 48035-2504
Mailing address
PO Box 480542
New Haven, MI 48048-0542
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 |
|---|---|---|---|
| 6401016134 | MI | MD | Professional Counselor |
| 6401017777 | MI | MD | Professional Counselor |
| SC0000000946263 | MI | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LTM Counseling and Wellness, PLLC | Professional | Current | Accepting new patients |
Locations
18901 15 Mile Rd
Clinton Township, MI 48035
Phone (586) 305-0448
42473 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 556-6982
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 and National Provider Directory roles.
-
- Professional Counselor
- Clinton Township, MI
- NPI 1427688563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1073030615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 480542",
"city": "NEW HAVEN",
"state": "MI",
"postal_code": "480480542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18901 15 MILE RD",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480352504",
"telephone_number": "586-305-0448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLETT",
"first_name": "TAYLOUR",
"credential": "MA, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-24",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401016134",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MI",
"license": "SC0000000946263",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401017777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.