Jaime Ward Taylor, QP, BS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3409081 Issued in NC

Practice address

62 Ida Brown Lane
Lillington, NC 27546

Phone

(910) 814-0044

Fax

(910) 893-3474

NPI assigned

Jan 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tala Habilitative Services, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Lillington, NC
  • NPI 1750551891
  NPD (past) Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235285297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 PADDINGTON PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283146304",
            "telephone_number": "910-670-5625",
            "fax_number": "910-893-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 IDA BROWN LANE",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "27546",
            "telephone_number": "910-814-0044",
            "fax_number": "910-893-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JAIME",
        "middle_name": "WARD",
        "credential": "QP, BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "3409081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Keith Studley, DO
• Kavita Sura
• Tala Habilitative Services, Inc.
• Ruth Talavera
• Sharon Boyd Taunton, PTA
• Kaylee Nicole Taylor, M.S., CCC-SLP
• Graham Terrell
• The Mental Health Association in North Carolina, Inc. (Sandhills HTT)
• The Mental Health Association in North Carolina, Inc. (Lee Harnett ACTT)
• Therapeutic Alternatives, Inc.

• Mental Health Counselor in Lillington, NC
• Providers in Lillington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.