Active NPI
Eric Lawrence Taylor III
- Professional Counselor
- Thomasville, NC
National Provider Identifier
1083215834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC014921
- Practice address
- 6329 Unity St Ste D
Thomasville, NC 27360-7186 - Phone
- (336) 459-0641
- NPI assigned
- Nov 6, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | LPC014921 | GA | Primary |
Addresses
Primary practice location
6329 Unity St Ste D
Thomasville, NC 27360-7186
Mailing address
235 Coachman Way
Sanford, NC 27332-6620
Phone (910) 308-1455
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eltaylor1@aggies.ncat.edu |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC014921 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1083215834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 COACHMAN WAY",
"city": "SANFORD",
"state": "NC",
"postal_code": "273326620",
"telephone_number": "910-308-1455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6329 UNITY ST STE D",
"city": "THOMASVILLE",
"state": "NC",
"postal_code": "273607186",
"telephone_number": "336-459-0641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ERIC",
"middle_name": "LAWRENCE",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-06",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC014921",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eltaylor1@aggies.ncat.edu",
"affiliation": "N",
"address_1": "235 Coachman Way",
"city": "Sanford",
"state": "NC",
"country_code": "US",
"postal_code": "273326620",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Thomasville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.