Individual provider Active NPI

Teresa B. Taylor, M.A,

  • Professional Counselor
  • Northport, AL
National Provider Identifier
1164868766
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C1591A Issued in AL
Practice address
720 Energy Center Blvd Ste 502
Northport, AL 35473-2794
Phone
(205) 344-5507
NPI assigned
May 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C1591A AL Primary

Addresses

Primary practice location

720 Energy Center Blvd Ste 502
Northport, AL 35473-2794

Mailing address

720 Energy Center Blvd Ste 502
Northport, AL 35473-2794
Phone (205) 344-5507

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C1591AALMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1164868766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 ENERGY CENTER BLVD STE 502",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354732794",
            "telephone_number": "205-344-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ENERGY CENTER BLVD STE 502",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354732794",
            "telephone_number": "205-344-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TERESA",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "M.A,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "C1591A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.