Active NPI
Nicole Elise Taylor, LPC
- Mental Health Counselor
- Columbus, OH
National Provider Identifier
1447903307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.2103514
- Practice address
- 3600 Olentangy River Rd Ste 500
Columbus, OH 43214-3437 - Phone
- (614) 570-5297
- NPI assigned
- Feb 1, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.2103514 | OH | Primary |
Addresses
Primary practice location
3600 Olentangy River Rd Ste 500
Columbus, OH 43214-3437
Mailing address
4179 N Old State Rd
Delaware, OH 43015-9338
Phone (614) 570-5297
Other practice location 1
4179 N Old State Rd
Delaware, OH 43015-9338
Phone (614) 570-5297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C.2103514 | Other | OH | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.simplepractice.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| C.2103514 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1447903307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4179 N OLD STATE RD",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430159338",
"telephone_number": "614-570-5297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 OLENTANGY RIVER RD STE 500",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143437",
"telephone_number": "614-570-5297"
}
],
"practiceLocations": [
{
"address_1": "4179 N Old State Rd",
"address_purpose": "LOCATION",
"city": "Delaware",
"state": "OH",
"postal_code": "430159338",
"country_code": "US",
"telephone_number": "614-570-5297",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "NICOLE",
"middle_name": "ELISE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-01",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.2103514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "C.2103514",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.simplepractice.com",
"affiliation": "N",
"endpointDescription": "Platform for mental health professionals to administer services",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3600 Olentangy River Rd Ste 500",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432143437",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.