Individual provider Active NPI

Taylor Mora, LPC/MHSP-TEMP

  • Mental Health Counselor
  • La Vergne, TN
National Provider Identifier
1386521276
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6013 Issued in TN
Practice address
414 Shadylake Dr
La Vergne, TN 37086-2656
Phone
(708) 704-2886
NPI assigned
Aug 20, 2025
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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 6013 TN Primary

Addresses

Primary practice location

414 Shadylake Dr
La Vergne, TN 37086-2656

Mailing address

414 Shadylake Dr
La Vergne, TN 37086-2656
Phone (708) 704-2886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20251210004397 TN Practitioner - Mental Health Counselor 6901390582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1345 Mendota Heights Rd
Mendota Heights, MN 55120-1129

1345 Mendota Heights Rd
Mendota Heights, MN 55120-2006

521 Stonecrest Pkwy
Suite 102
Smyrna, TN 37167-6804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RH Mental Health, LLC CurrentSince Oct 25, 2025 Accepting new patients

Locations

1608 Williams Dr
Ste 301
Murfreesboro, TN 37129
Phone (615) 653-4115

521 Stonecrest Pkwy
Ste 102
Smyrna, TN 37167
Phone (615) 247-6831

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.

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1386521276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 SHADYLAKE DR",
            "city": "LA VERGNE",
            "state": "TN",
            "postal_code": "370862656",
            "telephone_number": "708-704-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 SHADYLAKE DR",
            "city": "LA VERGNE",
            "state": "TN",
            "postal_code": "370862656",
            "telephone_number": "708-704-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "TAYLOR",
        "credential": "LPC/MHSP-TEMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "6013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vergne, TN

Sources for this page

Verify at the official NPI Registry.