Active NPI
Robert W. Taylor, LPC
- Professional Counselor
- Joplin, MO
National Provider Identifier
1235217415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 002047
- Practice address
- 705 Illinois Ave
Ste 22
Joplin, MO 64801-5067 - Phone
- (417) 627-9994
- Fax
- (417) 627-9995
- NPI assigned
- Nov 2, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 002047 | MO | Primary |
Addresses
Primary practice location
705 Illinois Ave
Ste 22
Joplin, MO 64801-5067
Mailing address
705 Illinois Ave
Ste 22
Joplin, MO 64801-5067
Phone (417) 627-9994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 498559509 | Medicaid | MO |
Other names 1
- Mr. Rob W. Taylor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251104000210 | MO | Practitioner - Mental Health Counselor | 4880184456 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Counseling Associates of the Four States LLC
Practice addresses (Care Compare)
705 W 26TH St
Joplin, MO 64804-1904
Phone (417) 627-9994
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Law
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002047 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Associates of the Four States, LLC | Professional | Current | Accepting new patients |
Locations
705 W 26th St
Joplin, MO 64804
Phone (417) 627-9994
705 Illinois Ave
Ste 22
Joplin, MO 64801
Phone (417) 627-9994
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
- Joplin, MO
- NPI 1023255106
MO, Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1235217415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 ILLINOIS AVE",
"address_2": "STE 22",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648015067",
"telephone_number": "417-627-9994",
"fax_number": "417-627-9995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 ILLINOIS AVE",
"address_2": "STE 22",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648015067",
"telephone_number": "417-627-9994",
"fax_number": "417-627-9995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ROBERT",
"middle_name": "W.",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "002047",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "498559509",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROB",
"last_name": "TAYLOR",
"middle_name": "W.",
"prefix": "MR.",
"credential": "LPC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.