NPIMap

Individual provider Active NPI

Taylor Rae Homesley, APC, MAMFT

  • Counselor
  • Atlanta, GA
National Provider Identifier
1417334194
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
APC004069 Issued in GA
Practice address
50 Glenlake Pkwy
Suite 120
Atlanta, GA 30328-3486
Phone
(678) 328-4105
Fax
(770) 671-8508
NPI assigned
May 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X APC004069 GA Primary

Addresses

Primary practice location

50 Glenlake Pkwy
Suite 120
Atlanta, GA 30328-3486

Mailing address

50 Glenlake Pkwy
Suite 120
Atlanta, GA 30328-3486
Phone (678) 328-4105

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

LicenseStateTypeSpecialty
APC004069GAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Renfrew Centers, Inc. Past Accepting new patients
Veritas Collaborative Atlanta, LLC Dba the Emily Program Past Accepting new patients
Veritas Collaborative Georgia, LLC Past Accepting new patients

Organizations & group practices 3

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": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1417334194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 GLENLAKE PKWY",
            "address_2": "SUITE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283486",
            "telephone_number": "678-328-4105",
            "fax_number": "770-671-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GLENLAKE PKWY",
            "address_2": "SUITE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283486",
            "telephone_number": "678-328-4105",
            "fax_number": "770-671-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMESLEY",
        "first_name": "TAYLOR",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "APC, MAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "APC004069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.