Individual provider Active NPI

Kristine Taylor, LMHC

  • Mental Health Counselor
  • Coralville, IA
National Provider Identifier
1346808037
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
091756 Issued in IA
Practice address
1150 5TH St Ste 270
Coralville, IA 52241-2933
Phone
(319) 804-9312
Fax
(319) 449-3845
NPI assigned
May 29, 2019
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 091756 IA Primary
Professional Counselor 101YP2500X 91756 IA

Addresses

Primary practice location

1150 5TH St Ste 270
Coralville, IA 52241-2933

Mailing address

1150 5TH St Ste 270
Coralville, IA 52241-2933
Phone (319) 804-9312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091756IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alli Center LLC Mental Health CurrentSince Jan 17, 2024 Accepting new patients
The Childserve Clinic Inc Mental Health Past Accepting new patients
Childserve Therapy, Inc. Past Accepting new patients

Locations

1150 5th St
Ste 270
Iowa City, IA 52241
Phone (319) 804-9312

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1346808037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 5TH ST STE 270",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412933",
            "telephone_number": "319-804-9312",
            "fax_number": "319-449-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 5TH ST STE 270",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412933",
            "telephone_number": "319-804-9312",
            "fax_number": "319-449-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KRISTINE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "091756",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IA",
            "license": "91756",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.