Mark L Taylor, MS LPC NCC NCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3556 Issued in OK

Practice address

308 East Downing Street
Tahlequah, OK 74464-4603

Phone

(918) 506-4012

Fax

(918) 506-4013

NPI assigned

Mar 26, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1295852887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 E DOWNING ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643014",
            "telephone_number": "918-506-4012",
            "fax_number": "918-506-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 EAST DOWNING STREET",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744644603",
            "telephone_number": "918-506-4012",
            "fax_number": "918-506-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARK",
        "middle_name": "L",
        "credential": "MS LPC NCC NCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100734620H",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200053340B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Tapp, PHARMD
• Cheryl Delores Tarver, CNM
• Amanda Jane Taylor
• Amy D Taylor, LPC
• Brandon L Taylor, PHARMD, BCPS
• TCH Radiology PLLC
• Molly Gean Tebow, OD
• Brenda Joe Teehee, MSW
• Tenkiller Behavioral Services, Inc.
• Doris Tharp, LCSW

• Professional Counselor in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.