Active NPI
Bryce Kendall Taylor, LPCA
- Professional Counselor
- Monroe, NC
National Provider Identifier
1174869010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9315
- Practice address
- 1190 W Roosevelt Blvd
Monroe, NC 28110-2818 - Phone
- (704) 296-6200
- Fax
- (704) 296-4668
- NPI assigned
- Dec 21, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9315 | NC | Primary |
Addresses
Primary practice location
1190 W Roosevelt Blvd
Monroe, NC 28110-2818
Mailing address
284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Phone (704) 939-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19L2X | Other | NC | BCBS |
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 |
|---|---|---|---|
| 9315 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1174869010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 EXECUTIVE PARK DR STE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251833",
"telephone_number": "704-939-1100",
"fax_number": "704-939-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 W ROOSEVELT BLVD",
"city": "MONROE",
"state": "NC",
"postal_code": "281102818",
"telephone_number": "704-296-6200",
"fax_number": "704-296-4668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "BRYCE",
"middle_name": "KENDALL",
"name_prefix": "Mr.",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "9315",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "19L2X",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.