Lavenna Taylor, CDCA, CPRS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.188237 Issued in OH

Practice address

282 Stelton Rd
Xenia, OH 45385-5220

Phone

(937) 708-8348

NPI assigned

Sep 4, 2024

Last updated

Nov 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Her Story, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Springfield, OH
  • NPI 1164194478
  NPD
• Her Story, Inc

  • Community/Behavioral Health Agency
  • Springfield, OH
  • NPI 1841901337
  NPD

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1316772809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453850212",
            "telephone_number": "937-708-8348",
            "fax_number": "937-660-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 STELTON RD",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453855220",
            "telephone_number": "937-708-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LAVENNA",
        "credential": "CDCA, CPRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.188237",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.004331",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Swan
• Joyce Tagarisa, DDS
• Kayla Dawn Taggart, PTA
• Loretta Talty
• Jerry Taylor, CCDC 1
• Ronald Stuart Taylor, M.D.
• Stephen Peter Taylor, D.C.
• TCN Behavioral Health Service, Inc
• TCN Behavioral Health Services
• TCN Behavioral Health Services, Inc

• Addiction (Substance Use Disorder) Counselor in Xenia, OH
• Providers in Xenia, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.