Individual provider Active NPI

Taylor Forrest Kelley, LCPC

  • Mental Health Counselor
  • Brewer, ME
National Provider Identifier
1174213235
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
235 Center St
Brewer, ME 04412-1961
Phone
(207) 561-9496
Fax
(207) 561-9498
NPI assigned
May 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ME Primary

Addresses

Primary practice location

235 Center St
Brewer, ME 04412-1961

Mailing address

235 Center St
Brewer, ME 04412-1961
Phone (207) 561-9496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241107001654 ME Practitioner - Mental Health Counselor 1254865645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Higher Ground Services LLCGroup PAC ID 0345381836, 7 clinicians

Practice addresses (Care Compare)

235 Ctr St
Brewer, ME 04412-1961
Phone (207) 561-9496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Higher Ground Services LLC CurrentSince Oct 1, 2024 Accepting new patients
McKay Counseling PLLC CurrentSince Oct 1, 2024 Accepting new patients
Counseling Associates of New London PLLC Mental Health PastSince May 1, 2023 Accepting new patients

Locations

235 Center St
Brewer, ME 04412
Phone (207) 299-5157

Organizations & group practices 3

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": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1174213235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 CENTER ST",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121961",
            "telephone_number": "207-561-9496",
            "fax_number": "207-561-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CENTER ST",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121961",
            "telephone_number": "207-561-9496",
            "fax_number": "207-561-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "TAYLOR",
        "middle_name": "FORREST",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-11",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewer, ME

Sources for this page

Verify at the official NPI Registry.