Melissa Taylor, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMT3043 Issued in FL

Practice address

43 Knight Boxx Rd Ste 100
Orange Park, FL 32065-7395

Phone

(904) 379-8675

NPI assigned

Feb 14, 2022

Last updated

Feb 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

River's Edge Counseling PLLCGroup PAC ID 3577844091, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melissa.taylor@riversedgeorangepark.com

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.

• River's Edge Counseling, PLLC

  • Mental Health Counselor
  • Orange Park, FL
  • NPI 1396155768
  Medicare reassignment Care Compare group
• River's Edge Counseling, PLLC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1548958168
  NPD

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1275288722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 KNIGHT BOXX RD STE 100",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 KNIGHT BOXX RD STE 100",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657395",
            "telephone_number": "904-379-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MELISSA",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT3043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Melissa.taylor@riversedgeorangepark.com",
            "affiliation": "Y",
            "affiliationName": "River's Edge Counseling, PLLC",
            "address_1": "43 Knight Boxx Rd Ste 100",
            "city": "Orange Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320657395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer A Tarvis, FNP
• Te'Anna Tatum
• Bradley Neal Taylor, ARNP
• Devonia Taylor
• Joshua Ray Taylor, ARNP, CRNA
• TDN Dentistry, PLLC (Sunrise Emergency & Family Dental Care)
• Madison Teague
• Julie Teahan
• Teddy Garcia MD PA
• Kimberly W Tees, M.S.

• Marriage & Family Therapist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.