Active NPI
Taelor Emmert, MC, LAC
- Counselor
- Gilbert, AZ
National Provider Identifier
1386208940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LAC-17514
- Practice address
- 690 E Warner Rd Ste 115
Gilbert, AZ 85296-3056 - Phone
- (480) 444-2434
- NPI assigned
- Apr 29, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LAC-17514 | AZ | Primary |
Addresses
Primary practice location
690 E Warner Rd Ste 115
Gilbert, AZ 85296-3056
Mailing address
690 E Warner Rd Ste 115
Gilbert, AZ 85296-3056
Phone (480) 444-2434
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@totallifeaz.com | Total Life Counseling |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-17514 | AZ | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Life Counseling PLLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Gilbert, AZ
- NPI 1245521053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1386208940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 E WARNER RD STE 115",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852963056",
"telephone_number": "480-444-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 E WARNER RD STE 115",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852963056",
"telephone_number": "480-444-2434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMMERT",
"first_name": "TAELOR",
"credential": "MC, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-29",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LAC-17514",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@totallifeaz.com",
"affiliation": "Y",
"affiliationName": "Total Life Counseling",
"address_1": "690 E Warner Rd Ste 115",
"city": "Gilbert",
"state": "AZ",
"country_code": "US",
"postal_code": "852963056",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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- Amanda Emery, RN
- Tracey D Emmons, FNP-C
- Emovere Psychology & Consulting PLLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.