Kirsten L Taylor, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3628125 Issued in WI

Practice address

1401 Peterson Ave
Eau Claire, WI 54703-9709

Phone

(715) 379-9408

NPI assigned

Apr 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kirsten L Goss Former name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1225095508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 PETERSON AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547039709",
            "telephone_number": "715-379-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PETERSON AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547039709",
            "telephone_number": "715-379-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KIRSTEN",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3628125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41002800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "GOSS",
            "middle_name": "L",
            "credential": "KIRSTEN T ZECH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adela Virginia Taylor, M. D.
• Brett G Taylor, DMD
• Emily A Taylor, MS, CCC-SLP
• Kathryn R Taylor, PHARMD, RPH
• Kelsey Taylor, RN
• Holly Teclaw, RN
• Emily Teetzen, DPT
• Renee Teigen-Stary
• Mary Irene Telisak, LPC
• Melissa Catherine Tell, LCSW

• Professional Counselor in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.