Active NPI
Teresa Lee Taylor, M.E.S.
- Addiction (Substance Use Disorder) Counselor
- Waupaca, WI
National Provider Identifier
1275622524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1862
- Practice address
- 190 Grand Seasons Dr
Waupaca, WI 54981-8219 - Phone
- (715) 258-8459
- Fax
- (715) 258-0878
- NPI assigned
- Oct 12, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1862 | WI | Primary |
Addresses
Primary practice location
190 Grand Seasons Dr
Waupaca, WI 54981-8219
Mailing address
190 Grand Seasons Dr
Waupaca, WI 54981-8219
Phone (715) 258-8459
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39346800 | Medicaid | WI | |
| P00136897 | Other | WI | NETWORK HEALTH PROV # |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1275622524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 GRAND SEASONS DR",
"city": "WAUPACA",
"state": "WI",
"postal_code": "549818219",
"telephone_number": "715-258-8459",
"fax_number": "715-258-0878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 GRAND SEASONS DR",
"city": "WAUPACA",
"state": "WI",
"postal_code": "549818219",
"telephone_number": "715-258-8459",
"fax_number": "715-258-0878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "TERESA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "M.E.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "1862",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39346800",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH PROV #",
"identifier": "P00136897",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waupaca, WI
- Elissa L Stults, LMFT
- Tory D. M. Suehs, MA, LPC
- Molly Ann Szymanski, FNP-C
- Elisha Tapplin, PT
- Ashley Tardieu, MD
- Kasey Louise Tessar, PT
- Thedacare Medical Center - Waupaca, Inc.
- Thedacare Medical Center - Waupaca, Inc.
- Thedacare Medical Center - Waupaca, Inc. (ThedaCare Apothecary-Waupaca)
- Thedacare Medical Center - Waupaca, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.