Active NPI
Taylor Nicole January, MED, LPC
- Professional Counselor
- Altus, OK
National Provider Identifier
1215693189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12765
- Practice address
- 118 S Main St
Altus, OK 73521-3128 - Phone
- (806) 410-1490
- NPI assigned
- Nov 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 82929 | TX | |
| Professional Counselor | 101YP2500X | 12765 | OK | Primary |
Addresses
Primary practice location
118 S Main St
Altus, OK 73521-3128
Mailing address
118 S Main St
Altus, OK 73521-3128
Phone (806) 670-6162
Other practice location 1
602 SW 38th St
Lawton, OK 73505-6912
Phone (806) 410-1490
Other names 1
- Taylor Nicole Goldston
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12765 | OK | MD | Professional Counselor |
| 82929 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789171200000",
"number": "1215693189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 S MAIN ST",
"city": "ALTUS",
"state": "OK",
"postal_code": "735213128",
"telephone_number": "806-670-6162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 S MAIN ST",
"city": "ALTUS",
"state": "OK",
"postal_code": "735213128",
"telephone_number": "806-410-1490"
}
],
"practiceLocations": [
{
"address_1": "602 SW 38th St",
"address_purpose": "LOCATION",
"city": "Lawton",
"state": "OK",
"postal_code": "735056912",
"country_code": "US",
"telephone_number": "806-410-1490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANUARY",
"first_name": "TAYLOR",
"middle_name": "NICOLE",
"credential": "MED, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-15",
"last_updated": "2026-09-12",
"certification_date": "2026-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "82929",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "12765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAYLOR",
"last_name": "GOLDSTON",
"middle_name": "NICOLE",
"credential": "MED, LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Altus, OK
- Jackson County Memorial Hospital Skilled Nursing Facility
- Amber Dawn Jackson, MS, CCC-SLP
- Carl Edward Jackson, M.S. LPC
- Sara Lafawn Jackson, M.S. LPC
- James H Burns DC PC
- JCMH Healthcare Corporation
- JCMH Home Health Products Inc.
- Danielle Jensen, R.D./L.D.
- Jim Taliaferro CMHC
- Morgan Paige Johns, APRN-CNS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.