Individual provider Active NPI

Craig Taylor, MSW

  • Mental Health Counselor
  • Redmond, WA
National Provider Identifier
1275256281
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61352966 Issued in WA
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

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61352966WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lightheart Associates PS Single Specialty CurrentSince Jan 21, 2025 Accepting new patients
Dr. Kathleen Worsley Single Specialty PastSince Jan 21, 2025 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

Verify at the official NPI Registry.