Kelvin Taylor, CADAC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

C2-2018 Issued in IN

Practice address

1418 Jackson St
Anderson, IN 46016-1619

Phone

(317) 764-8608

NPI assigned

Nov 4, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1144985185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14742 SIR BARTON DR APT H",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460605526",
            "telephone_number": "317-764-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 JACKSON ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460161619",
            "telephone_number": "317-764-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KELVIN",
        "credential": "CADAC II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "C2-2018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nighat A Tahir, MD
• Courtney Tanner, LCSW
• Shantha Tanner
• Katie Danielle Taschler, PHARMD, RPH
• Erika Tate, RN
• Makynlee Rose Taylor
• Laetitia Tchate
• Linda C Teeple, LMHC LMFT
• Rex G Teeple, O.D.
• Francesca D Tekula, MD

• Addiction (Substance Use Disorder) Counselor in Anderson, IN
• Providers in Anderson, IN by specialty
• Addiction (Substance Use Disorder) Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.