Active NPI
Grace Taylor, LPC
- Mental Health Counselor
- Cabot, AR
National Provider Identifier
1144700725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A2107001
- Practice address
- 3358 S 2ND St Ste a-C
Cabot, AR 72023-7873 - Phone
- (501) 286-6053
- Fax
- (501) 286-6090
- NPI assigned
- Aug 14, 2018
- 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 | A2107001 | AR | Primary |
Addresses
Primary practice location
3358 S 2ND St Ste a-C
Cabot, AR 72023-7873
Mailing address
2809 Forest Home Rd
Jonesboro, AR 72401-5320
Phone (866) 972-1268
Other practice location 1
5834 Highway 89 S
Cabot, AR 72023-8591
Phone (501) 286-4332
Other practice location 2
4702 W Commercial Dr Ste B3
North Little Rock, AR 72116-7073
Phone (501) 205-4570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 228751795 | Medicaid | AR |
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 |
|---|---|---|---|
| A2107001 | AR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Arkansas Group Counseling, PLLC | Current | Accepting new patients |
Locations
4702 W Commercial Dr
Ste B3
North Little Rock, AR 72116
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.
-
dba Arkansas Counseling and Wellness Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bentonville, AR
- NPI 1356867303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1144700725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2809 FOREST HOME RD",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724015320",
"telephone_number": "866-972-1268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3358 S 2ND ST STE A-C",
"city": "CABOT",
"state": "AR",
"postal_code": "720237873",
"telephone_number": "501-286-6053",
"fax_number": "501-286-6090"
}
],
"practiceLocations": [
{
"address_1": "5834 Highway 89 S",
"address_purpose": "LOCATION",
"city": "Cabot",
"state": "AR",
"postal_code": "720238591",
"country_code": "US",
"telephone_number": "501-286-4332",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4702 W Commercial Dr Ste B3",
"address_purpose": "LOCATION",
"city": "North Little Rock",
"state": "AR",
"postal_code": "721167073",
"country_code": "US",
"telephone_number": "501-205-4570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "GRACE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-14",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A2107001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "228751795",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cabot, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.