Active NPI
D'Angelo Taylor, LPC
- Professional Counselor
- Alexandria, VA
National Provider Identifier
1205462157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PRC15306
- Practice address
- 100 S Reynolds St Apt 405
Alexandria, VA 22304-3173 - Phone
- (910) 584-9500
- NPI assigned
- Mar 22, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PRC15306 | DC | Primary |
| Counselor | 101Y00000X | PRC15306 | DC | |
| Mental Health Counselor | 101YM0800X | PRC15306 | DC |
Addresses
Primary practice location
100 S Reynolds St Apt 405
Alexandria, VA 22304-3173
Mailing address
447 E 12TH St Apt 213
Charlotte, NC 28206-0506
Phone (910) 584-9500
Other practice location 1
3711 Latrobe Dr Ste 510
Charlotte, NC 28211-1664
Phone (704) 317-3435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PRC15306 | Medicaid | DC |
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 |
|---|---|---|---|
| PRC15306 | DC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soundtrack to Life | Counselor | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1366360778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1205462157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "447 E 12TH ST APT 213",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282060506",
"telephone_number": "910-584-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S REYNOLDS ST APT 405",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223043173",
"telephone_number": "910-584-9500"
}
],
"practiceLocations": [
{
"address_1": "3711 Latrobe Dr Ste 510",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282111664",
"country_code": "US",
"telephone_number": "704-317-3435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "D'ANGELO",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-22",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC15306",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "DC",
"license": "PRC15306",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DC",
"license": "PRC15306",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PRC15306",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.