Taylor Cusack

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC05137 Issued in AL

Practice address

3170 Martin Luther King Jr Pkwy S
Phenix City, AL 36869-8405

Phone

(334) 298-2405

Fax

(334) 742-2840

NPI assigned

Feb 28, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• East Alabama Mental Health-Mental Retardation Board Incorpor

  • Community/Behavioral Health Agency
  • Opelika, AL
  • NPI 1053281014
  NPD (past)
• East Alabama Mental Health-Mental Retardation Board Incorpor

  • Community/Behavioral Health Agency
  • Opelika, AL
  • NPI 1336169606
  NPD (past)

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1316704141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 LAMBERT DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017237",
            "telephone_number": "334-742-2718",
            "fax_number": "334-742-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 MARTIN LUTHER KING JR PKWY S",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368698405",
            "telephone_number": "334-298-2405",
            "fax_number": "334-742-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSACK",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "LPC05137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Campbell Alana Covington, PA-C
• Christina Marie Covington, ED.S
• Katherine Crawford, PHD, LCSW
• Selin Nuriye Cross
• Adrienne Nicole Crow, MD
• Custom Healthcare, LLC
• Arisha Dancy-Mattox
• Daniel S Windsor, DMD, PC
• James Eugene Davis
• Norman Willard Davis, RPH

• Mental Health Counselor in Phenix City, AL
• Providers in Phenix City, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.