Individual provider Active NPI

Cora Sue Taylor, PSY.S., LMHC

  • Mental Health Counselor
  • Punta Gorda, FL
National Provider Identifier
1285696385
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH4605 Issued in FL
Practice address
315 E Olympia Ave
Suite 252
Punta Gorda, FL 33950-3831
Phone
(941) 637-7111
Fax
(941) 637-7343
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH4605 FL Primary

Addresses

Primary practice location

315 E Olympia Ave
Suite 252
Punta Gorda, FL 33950-3831

Mailing address

490 Via Esplanade
Punta Gorda, FL 33950-6440
Phone (941) 637-7111

Other identifiers 1

IdentifierTypeStateIssuer
677796196MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250129001310 FL Practitioner - Mental Health Counselor 0446789945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

315 E Olympia Ave
Unit 252
Punta Gorda, FL 33950-3823
Phone (941) 637-7111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cora S. Taylor, Psy.S., LMHC, PA Dba Crossway Counseling Learning Center CurrentSince Jan 1, 2025 Accepting new patients

Locations

315 E Olympia Ave
Unit 252
Punta Gorda, FL 33950
Phone (941) 637-7111

Organizations & group practices 1

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1285696385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 VIA ESPLANADE",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339506440",
            "telephone_number": "941-637-7111",
            "fax_number": "941-637-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E OLYMPIA AVE",
            "address_2": "SUITE 252",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503831",
            "telephone_number": "941-637-7111",
            "fax_number": "941-637-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CORA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "PSY.S., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "677796196",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.