Individual provider Active NPI

Taylor Duncan, LPCC

  • Professional Counselor
  • Bowling Green, KY
National Provider Identifier
1083061394
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
265165 Issued in KY
Practice address
1990 Louisville Rd Ste 107
Bowling Green, KY 42101-1202
Phone
(270) 495-1222
NPI assigned
May 17, 2016
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 265165 KY Primary

Addresses

Primary practice location

1990 Louisville Rd Ste 107
Bowling Green, KY 42101-1202

Mailing address

1990 Louisville Rd Ste 107
Bowling Green, KY 42101-1202
Phone (270) 495-1222

Other names 1

  • Miss Taylor Duncan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241031004206 KY Practitioner - Mental Health Counselor 2365975158 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evolving Lives LLC Professional CurrentSince Oct 1, 2024 Accepting new patients
Cathy Gamm Counseling Services, LLC Past Accepting new patients

Locations

1990 Louisville Rd
Ste 107
Bowling Green, KY 42101
Phone (270) 495-1222

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1083061394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 LOUISVILLE RD STE 107",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011202",
            "telephone_number": "270-495-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 LOUISVILLE RD STE 107",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011202",
            "telephone_number": "270-495-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "TAYLOR",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "265165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "DUNCAN",
            "prefix": "MISS",
            "credential": "FAIRLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.