Individual provider Active NPI

Taylor Ryleigh Collins, LMSW

  • Mental Health Counselor
  • Moore, OK
National Provider Identifier
1265255095
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
21183-P Issued in OK
Practice address
1400 SE 4TH St Ste a
Moore, OK 73160-7328
Phone
(405) 837-1033
NPI assigned
Oct 31, 2024
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 21183-P OK Primary

Addresses

Primary practice location

1400 SE 4TH St Ste a
Moore, OK 73160-7328

Mailing address

8037 NW 19TH St
Oklahoma City, OK 73127-1127
Phone (405) 343-8098

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
21183-POKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Family Therapy CurrentSince Nov 3, 2024 Accepting new patients

Locations

1400 SE 4th St
Ste A
Moore, OK 73160
Phone (405) 794-4497

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1265255095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8037 NW 19TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731271127",
            "telephone_number": "405-343-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SE 4TH ST STE A",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731607328",
            "telephone_number": "405-837-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "TAYLOR",
        "middle_name": "RYLEIGH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "21183-P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.