Active NPI
Craig Taylor, MSW
- Mental Health Counselor
- Redmond, WA
National Provider Identifier
1275256281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 61352966
- Practice address
- 8301 161St Avenue Northwest
Suite 202
Redmond, WA 98052 - Phone
- (142) 599-6859
- NPI assigned
- Sep 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 61352966 | WA | Primary |
Addresses
Primary practice location
8301 161St Avenue Northwest
Suite 202
Redmond, WA 98052
Mailing address
16340 NE 83Rd St Apt A102
Redmond, WA 98052-3879
Phone (619) 405-1821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61352966 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lightheart Associates PS | Single Specialty | Current | Accepting new patients |
| Dr. Kathleen Worsley | Single Specialty | Past | Accepting new patients |
Locations
7902 168th Ave NE
Ste 101
Redmond, WA 98052
Phone (425) 472-2681
Organizations & group practices 2
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": "1663891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1275256281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16340 NE 83RD ST APT A102",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523879",
"telephone_number": "619-405-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8301 161ST AVENUE NORTHWEST",
"address_2": "SUITE 202",
"city": "REDMOND",
"state": "WA",
"postal_code": "98052",
"telephone_number": "142-599-6859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "CRAIG",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-23",
"last_updated": "2022-09-23",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "61352966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.