Active NPI
Taylor Colleran, LMSW
- Clinical Social Worker
- Eagle, ID
National Provider Identifier
1275465635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6281715
- Practice address
- 1025 S Bridgeway PL Ste 280
Eagle, ID 83616-6834 - Phone
- (208) 412-7740
- NPI assigned
- Jun 1, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6281715 | ID | Primary |
Addresses
Primary practice location
1025 S Bridgeway PL Ste 280
Eagle, ID 83616-6834
Mailing address
366 S Sunset Point Way
Meridian, ID 83642-5495
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6281715 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A New Beginning Counseling Center, PC. | Past | Accepting new patients | |
| Colleran Consulting LLC | Clinical | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Meridian, ID
- NPI 1649196650
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Eagle, ID
- NPI 1821238080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1275465635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 S SUNSET POINT WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 S BRIDGEWAY PL STE 280",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166834",
"telephone_number": "208-412-7740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLERAN",
"first_name": "TAYLOR",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-01",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "6281715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.