Carlos Taylor

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7731 Issued in OK

Practice address

3908 SW Pecan PL
Lawton, OK 73505-7511

Phone

(580) 458-8471

NPI assigned

Jun 24, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Our House Mhsa Inc

  • Mental Health Counselor
  • Lawton, OK
  • NPI 1790144160
  Medicare reassignment NPD

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1295174233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 SW PECAN PL",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735057511",
            "telephone_number": "580-458-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 SW PECAN PL",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735057511",
            "telephone_number": "580-458-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "7731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatas for Now
• Diondrick Keenan Tawkoyty
• Ophelia Taylor-Walker
• Angela Sue Taylor, LPC
• Beatrice Taylor
• Christopher Aquies Taylor, PA-C
• Cynthia Lynn Taylor
• Disa Muse Taylor
• Juanita Taylor, RBT
• Tara Nicole Taylor, BA

• Mental Health Counselor in Lawton, OK
• Providers in Lawton, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.