Individual provider Active NPI

Nichelle Taylor

  • Mental Health Counselor
  • Eugene, OR
National Provider Identifier
1114592862
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1075 Washington St
Eugene, OR 97401-4606
Phone
(541) 321-2278
NPI assigned
May 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1075 Washington St
Eugene, OR 97401-4606

Mailing address

1075 Washington St
Eugene, OR 97401-4606
Phone (541) 321-2278

Other practice location 1

7011 Campus Dr Ste 205
Colorado Springs, CO 80920-3104
Phone (719) 466-4809

Other practice location 2

2295 Coburg Rd Ste 200
Eugene, OR 97401-7489
Phone (541) 600-2300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nichelle.taylor@coloradobehavior.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Counseling, LLC CurrentSince Jun 1, 2024 Accepting new patients
Arise Counseling Service, LLC. Dba Northlight Counseling CurrentSince Jul 9, 2025 Accepting new patients

Locations

2295 Coburg Rd
Ste 200
Eugene, OR 97401
Phone (541) 600-2300

1075 Washington St
Eugene, OR 97401
Phone (541) 321-2278

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1114592862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 WASHINGTON ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014606",
            "telephone_number": "541-321-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 WASHINGTON ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014606",
            "telephone_number": "541-321-2278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7011 Campus Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809203104",
            "country_code": "US",
            "telephone_number": "719-466-4809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2295 Coburg Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974017489",
            "country_code": "US",
            "telephone_number": "541-600-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "NICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nichelle.taylor@coloradobehavior.com",
            "affiliation": "N",
            "endpointDescription": "provider email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct provider email for health information",
            "address_1": "7011 Campus Dr Ste 205",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809203104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.

Verify at the official NPI Registry.