Individual provider Active NPI

Nancy J Taylor, MC LPC RPT

  • Mental Health Counselor
  • Tempe, AZ
National Provider Identifier
1366413957
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC10994 Issued in AZ
Practice address
2435 E Southern Ave Ste 3
Tempe, AZ 85282-7628
Phone
(480) 894-2281
Fax
(480) 894-2282
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC10994 AZ Primary

Addresses

Primary practice location

2435 E Southern Ave Ste 3
Tempe, AZ 85282-7628

Mailing address

1305 E Carson Dr
Tempe, AZ 85282-7215
Phone (480) 752-3010

Other identifiers 3

IdentifierTypeStateIssuer
738731000OtherAZMAGELLAN
885171OtherAZAHCCCS
7521626OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC10994AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Healing Play, Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1366413957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 E CARSON DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827215",
            "telephone_number": "480-752-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 E SOUTHERN AVE STE 3",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827628",
            "telephone_number": "480-894-2281",
            "fax_number": "480-894-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "NANCY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MC LPC RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC10994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "738731000",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "885171",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7521626",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.