Individual provider Active NPI

Taylor Nichole Cook-McCarty

  • Counselor
  • Los Angeles, CA
National Provider Identifier
1457922650
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
R1255720617 Issued in CA
Practice address
360 S Westlake Ave
Los Angeles, CA 90057-2906
Phone
(213) 483-9201
Fax
(213) 236-0142
NPI assigned
Jul 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X R1255720617 CA Primary

Addresses

Primary practice location

360 S Westlake Ave
Los Angeles, CA 90057-2906

Mailing address

360 S Westlake Ave
Los Angeles, CA 90057-2906
Phone (213) 483-9201

Other identifiers 1

IdentifierTypeStateIssuer
B8306546MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL taylorc@socialmodel.com

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
R1255720617CAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1457922650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S WESTLAKE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572906",
            "telephone_number": "213-483-9201",
            "fax_number": "213-236-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S WESTLAKE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572906",
            "telephone_number": "213-483-9201",
            "fax_number": "213-236-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK-MCCARTY",
        "first_name": "TAYLOR",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "R1255720617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B8306546",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "taylorc@socialmodel.com",
            "affiliation": "N",
            "address_1": "360 S Westlake Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900572906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.