Angela Marie Taylor

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

154 Mayfair St SE
Palm Bay, FL 32909-4359

Phone

(423) 650-5269

NPI assigned

Jan 31, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1073144648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 NW LAKE WHITNEY PL STE 101",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861629",
            "telephone_number": "772-337-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 MAYFAIR ST SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329094359",
            "telephone_number": "423-650-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• T Mag Elder Care LLC
• Courtney Taft, PTA
• Ahmed Taha
• Peter William Taraschi, DO
• Valerie Taylor-Reffner, L.M.H.C.
• Christy Taylor, LCSW
• Darla Michelle Taylor, APRN
• Robert Michael Taylor, M.D.
• Tracy Bell Taylor
• Teak Haven Company, LLC

• Mental Health Counselor in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.