Individual provider Active NPI

Taylor Delaney McMahon

  • Mental Health Counselor
  • Southaven, MS
National Provider Identifier
1104792506
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P-1418 Issued in MS
Practice address
5699 Getwell Rd
Southaven, MS 38672-7312
Phone
(662) 584-5097
Fax
(662) 495-4079
NPI assigned
Oct 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P-1418 MS Primary

Addresses

Primary practice location

5699 Getwell Rd
Southaven, MS 38672-7312

Mailing address

PO Box 68
Tupelo, MS 38802-0068
Phone (662) 584-5097

Other practice location 1

302 S Spring St
Tupelo, MS 38804-4822
Phone (662) 584-5097

Other practice location 2

5699 Getwell Rd Ste 5
Southaven, MS 38672-7312
Phone (662) 649-6502

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

LicenseStateTypeSpecialty
P-1418MSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heale Counseling, LLC Mental Health PastSince Oct 21, 2025 Accepting new patients
TMK Enterprises PastSince Oct 21, 2025 Accepting new patients
Heale Counseling, LLC Mental Health Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1104792506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388020068",
            "telephone_number": "662-584-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5699 GETWELL RD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386727312",
            "telephone_number": "662-584-5097",
            "fax_number": "662-495-4079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 S Spring St",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388044822",
            "country_code": "US",
            "telephone_number": "662-584-5097",
            "fax_number": "662-495-4079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5699 Getwell Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386727312",
            "country_code": "US",
            "telephone_number": "662-649-6502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "TAYLOR",
        "middle_name": "DELANEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "P-1418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.