Carla Taylor, LSATP

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0718000620 Issued in VA

Practice address

4212 Park Place CT.
Glen Allen, VA 23060

Phone

(804) 315-3135

Fax

(804) 728-1086

NPI assigned

Sep 15, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Carla Taylor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Virginia Center for Addiction Medicine

  dba Master Center for Addiction Medicine

  • Addiction Medicine (Internal Medicine) Physician
  • Glen Allen, VA
  • NPI 1477091247
  NPD

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1174494991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 PEPPERCORN WAY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23321",
            "telephone_number": "757-641-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 PARK PLACE CT.",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "23060",
            "telephone_number": "804-315-3135",
            "fax_number": "804-728-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CARLA",
        "name_prefix": "Ms.",
        "credential": "LSATP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0718000620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "TAYLOR",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tandem Mental Health Associates, Inc.
• Tifu Tanwi
• Elaine K Tardiff, R.PH.
• Leticia Emanuelle Tartakovsky, LPC
• Elmamarie Lynn Tatum
• Caroline Taylor, ATC
• Joshua K Taylor, LCSW
• Team Counseling and Psychological Services, Incorporated
• Cynthia L Terraciano, LCSW
• Thomas L Terraciano, PHD

• Counselor in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.