Active NPI
Matthew Taylor, LPC
- Mental Health Counselor
- Salem, OR
National Provider Identifier
1205299872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1193 Royvonne Ave SE
Salem, OR 97302-6500 - Phone
- (503) 602-7075
- NPI assigned
- Apr 1, 2016
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1193 Royvonne Ave SE
Salem, OR 97302-6500
Mailing address
821 Saginaw St S
Salem, OR 97302-4121
Phone (503) 589-4046
Other practice location 1
821 Saginaw St S
Salem, OR 97302-4121
Phone (503) 589-4046
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradoxos, LLC | Mental Health | Current | Accepting new patients |
Locations
1193 Royvonne Ave SE
Ste 11
Salem, OR 97302
Phone (503) 602-7075
Organizations & group practices 1
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": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1205299872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 SAGINAW ST S",
"city": "SALEM",
"state": "OR",
"postal_code": "973024121",
"telephone_number": "503-589-4046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1193 ROYVONNE AVE SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973026500",
"telephone_number": "503-602-7075"
}
],
"practiceLocations": [
{
"address_1": "821 Saginaw St S",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973024121",
"country_code": "US",
"telephone_number": "503-589-4046",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "MATTHEW",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-01",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.