Individual provider Active NPI

Nicole Maupin Taylor, LPC, NCC

  • Counselor
  • Lynchburg, VA
National Provider Identifier
1295229391
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701007716 Issued in VA
Practice address
137 Laxton Rd Ste 200
Lynchburg, VA 24502-5294
Phone
(434) 604-0134
Fax
(434) 300-5558
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701007716 VA Primary

Addresses

Primary practice location

137 Laxton Rd Ste 200
Lynchburg, VA 24502-5294

Mailing address

137 Laxton Rd Ste 200
Lynchburg, VA 24502-5294
Phone (434) 604-0134

Other practice location 1

371 Oakdale Cir
Lynchburg, VA 24502-7348
Phone (434) 237-2655

Other practice location 2

1048 Oakmont Cir
Lynchburg, VA 24502-2765
Phone (434) 604-0134

Other names 1

  • Nicole Marie Maupin Former name

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

LicenseStateTypeSpecialty
0701007716VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Taylored Counseling Services LLC Counselor CurrentSince Jan 1, 2024 Accepting new patients
Wyndhurst Counseling Center, LLC CurrentSince Mar 24, 2024 Accepting new patients
Family Preservation Services LLC Past Accepting new patients

Locations

137 Laxton Rd
Ste 200
Lynchburg, VA 24502
Phone (434) 239-1928

371 Oakdale Cir
Lynchburg, VA 24502
Phone (434) 237-2655

Organizations & group practices 3

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1295229391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 LAXTON RD STE 200",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025294",
            "telephone_number": "434-604-0134",
            "fax_number": "434-300-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 LAXTON RD STE 200",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025294",
            "telephone_number": "434-604-0134",
            "fax_number": "434-300-5558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "371 Oakdale Cir",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245027348",
            "country_code": "US",
            "telephone_number": "434-237-2655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1048 Oakmont Cir",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245022765",
            "country_code": "US",
            "telephone_number": "434-604-0134",
            "fax_number": "434-300-5558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "NICOLE",
        "middle_name": "MAUPIN",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701007716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MAUPIN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.