Active NPI
Vanessa Y. Taylor
- Mental Health Counselor
- Valdosta, GA
National Provider Identifier
1124538707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2601 Bemiss Rd Ste Q
Valdosta, GA 31602-1450 - Phone
- (229) 219-1811
- NPI assigned
- Oct 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2601 Bemiss Rd Ste Q
Valdosta, GA 31602-1450
Mailing address
4045 Chadwyck Dr
Valdosta, GA 31605-7004
Phone (229) 444-5827
Other practice location 1
410 S Sherman St
Fitzgerald, GA 31750-3352
Phone (229) 426-0002
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Tree Psychological | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Fitzgerald, GA
- NPI 1205238078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1124538707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4045 CHADWYCK DR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316057004",
"telephone_number": "229-444-5827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 BEMISS RD STE Q",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021450",
"telephone_number": "229-219-1811"
}
],
"practiceLocations": [
{
"address_1": "410 S Sherman St",
"address_purpose": "LOCATION",
"city": "Fitzgerald",
"state": "GA",
"postal_code": "317503352",
"country_code": "US",
"telephone_number": "229-426-0002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "VANESSA",
"middle_name": "Y.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.