Individual provider Active NPI

Chad B Taylor, LPC

  • Professional Counselor
  • Wausau, WI
National Provider Identifier
1407254840
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7168-125 Issued in WI
Practice address
2620 Stewart Ave Ste 310
Wausau, WI 54401-4162
Phone
(715) 848-0525
Fax
(715) 848-8665
NPI assigned
Dec 17, 2014
Last updated
May 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7168-125 WI Primary

Addresses

Primary practice location

2620 Stewart Ave Ste 310
Wausau, WI 54401-4162

Mailing address

2620 Stewart Ave Ste 310
Wausau, WI 54401-4162
Phone (715) 848-0525

Other identifiers 1

IdentifierTypeStateIssuer
100100131MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240119001478 WI Practitioner - Mental Health Counselor 8628420155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charis Counseling LLCGroup PAC ID 1456244276, 13 clinicians
Cornerstone Clinic LLCGroup PAC ID 0042645046, 11 clinicians

Practice addresses (Care Compare)

2620 Stewart Ave
Suite 310
Wausau, WI 54401-4162
Phone (715) 848-0525

2831 Post Rd
Suite 300
Plover, WI 54467-3415
Phone (715) 600-2798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charis Counseling, LLC Professional CurrentSince Mar 1, 2026 Accepting new patients
Cornerstone Clinic LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

2831 Post Rd
Ste 300
Plover, WI 54467
Phone (715) 600-2798

2620 Stewart Ave
Ste 310
Wausau, WI 54401
Phone (715) 848-0525

Organizations & group practices 2

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": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1407254840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 STEWART AVE STE 310",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014162",
            "telephone_number": "715-848-0525",
            "fax_number": "715-848-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 STEWART AVE STE 310",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014162",
            "telephone_number": "715-848-0525",
            "fax_number": "715-848-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHAD",
        "middle_name": "B",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-17",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7168-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100100131",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.