Individual provider Active NPI

Kenneth Robert Taylor, FLIGHT EMT

  • Mental Health Counselor
  • Louisville, KY
National Provider Identifier
1255259719
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
309125 Issued in KY
Practice address
1211 Mallard Creek Rd
Louisville, KY 40207-5499
Phone
(502) 791-2102
NPI assigned
Jul 9, 2026
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 309125 KY Primary
Basic Emergency Medical Technician 146N00000X 1114669 KY

Addresses

Primary practice location

1211 Mallard Creek Rd
Louisville, KY 40207-5499

Mailing address

1211 Mallard Creek Rd
Louisville, KY 40207-5499

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

State licenses

LicenseStateTypeSpecialty
309125KYMDMental Health Counselor
1114669KYMDBasic Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1255259719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 MALLARD CREEK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 MALLARD CREEK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075499",
            "telephone_number": "502-791-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KENNETH",
        "middle_name": "ROBERT",
        "credential": "FLIGHT EMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "309125",
            "primary": true
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "KY",
            "license": "1114669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.