Taylor Marie Pickrell, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00628800 Issued in NJ

Practice address

748 Morris Tpke Ste 211
Short Hills, NJ 07078-2617

Phone

(973) 794-6888

NPI assigned

Nov 21, 2022

Last updated

Nov 21, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1356050140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022648",
            "telephone_number": "443-614-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 MORRIS TPKE STE 211",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782617",
            "telephone_number": "973-794-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKRELL",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00628800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Ramsay Pazdera, M.S. CCC-SLP
• Cornelia Peckman, MD
• Sandra Constantine Peinado, M.D.
• Adelina Linda Pennetti, DPT
• Candide Petit Phar
• Rica Pine
• Pivotal Psychotherapy Services, LCSW, P.C.
• Plastic Surgery of Short Hills PC
• Lillian F. Pliner, M.D.
• Pom Nutrition Care, P.a.

• Mental Health Counselor in Short Hills, NJ
• Providers in Short Hills, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.