Active NPI
Erica Lowery Taylor, MA, LCMHC
- Professional Counselor
- Gastonia, NC
National Provider Identifier
1417374042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11105
- Practice address
- 415 W Main Ave
Gastonia, NC 28052 - Phone
- (704) 478-6093
- Fax
- (704) 973-9287
- NPI assigned
- Mar 20, 2014
- Last updated
- Jan 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 20275 | NC | |
| Professional Counselor | 101YP2500X | 11105 | NC | Primary |
Addresses
Primary practice location
415 W Main Ave
Gastonia, NC 28052
Mailing address
3841 Quill CT
Gastonia, NC 28056-8378
Phone (704) 917-8989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20275 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 11105 | NC | MD | Public Health Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689
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": "1395273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1417374042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 QUILL CT",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280568378",
"telephone_number": "704-917-8989",
"fax_number": "704-228-2631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 W MAIN AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "28052",
"telephone_number": "704-478-6093",
"fax_number": "704-973-9287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ERICA",
"middle_name": "LOWERY",
"credential": "MA, LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-20",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "20275",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "11105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
- Eloisa Dela Cruz Taruc, PT, DPT
- Taulman Chiropractic Corporation (Gaston Upper Cervical Chiropractic)
- J. Christopher Taulman, D.C.
- April Gaetana Taylor
- Barron Ivy Taylor, FNP
- Erika Latasha Taylor, DDS
- Jarrett Taylor, MA, LPC, LCASA
- Mark Edward Taylor, DDS
- Marlowe Taylor
- Jeannette Teague, MS, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.