Individual provider Active NPI

Dannielle Taylor, LMHC

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1386263465
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1602 Governors Dr Apt 2716
Pensacola, FL 32514-9441
Phone
(850) 529-1838
NPI assigned
Apr 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1602 Governors Dr Apt 2716
Pensacola, FL 32514-9441

Mailing address

1602 Governors Dr Apt 2716
Pensacola, FL 32514-9441
Phone (850) 529-1838

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Pensacola

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240829003424 IN Practitioner - Mental Health Counselor 5597204826 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue River Counseling & Wellness, LLC Mental Health CurrentSince Jun 1, 2025 Accepting new patients

Locations

2177 Intelliplex Dr
Ste 221
Shelbyville, IN 46176
Phone (317) 207-1830

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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1386263465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 GOVERNORS DR APT 2716",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325149441",
            "telephone_number": "850-529-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 GOVERNORS DR APT 2716",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325149441",
            "telephone_number": "850-529-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DANNIELLE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pensacola",
            "affiliation": "N",
            "address_1": "1602 Governors Dr Apt 2716",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325149441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.