Individual provider Active NPI

Robert W. Taylor, LPC

  • Professional Counselor
  • Joplin, MO
National Provider Identifier
1235217415
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
002047 Issued in MO
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

Updated by the provider on Jul 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
498559509MedicaidMO

Other names 1

  • Mr. Rob W. Taylor Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 10 clinicians

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

LicenseStateTypeSpecialty
002047MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates of the Four States, LLC Professional CurrentSince Oct 1, 2025 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.

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

Verify at the official NPI Registry.