Active NPI
Jeannine M Taylor, PCCS
- Professional Counselor
- Akron, OH
National Provider Identifier
1376850875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E0003744
- Practice address
- 60 Sand Run Rd
Akron, OH 44313-6202 - Phone
- (330) 620-3283
- Fax
- (330) 836-2222
- NPI assigned
- Sep 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E0003744 | OH | Primary |
Addresses
Primary practice location
60 Sand Run Rd
Akron, OH 44313-6202
Mailing address
1000 Pelee Dr
Akron, OH 44333-2969
Phone (330) 836-2222
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0003744 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa Borchert Dba Avenues of Counseling | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283472000000",
"number": "1376850875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 PELEE DR",
"city": "AKRON",
"state": "OH",
"postal_code": "443332969",
"telephone_number": "330-836-2222",
"fax_number": "330-836-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 SAND RUN RD",
"city": "AKRON",
"state": "OH",
"postal_code": "443136202",
"telephone_number": "330-620-3283",
"fax_number": "330-836-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JEANNINE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "PCCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-03",
"last_updated": "2010-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E0003744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.