Individual provider Active NPI

D'Angelo Taylor, LPC

  • Professional Counselor
  • Alexandria, VA
National Provider Identifier
1205462157
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PRC15306 Issued in DC
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

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PRC15306MedicaidDC

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

LicenseStateTypeSpecialty
PRC15306DCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.