Active NPI
Tessica Rachel Taylor, LPC
- Professional Counselor
- Luther, OK
National Provider Identifier
1477068211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6495
- Practice address
- 17789 E Charter Oak Rd
Luther, OK 73054-9583 - Phone
- (405) 615-4841
- NPI assigned
- Dec 1, 2017
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6495 | OK | Primary |
Addresses
Primary practice location
17789 E Charter Oak Rd
Luther, OK 73054-9583
Mailing address
17789 E Charter Oak Rd
Luther, OK 73054-9583
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylor Made Counseling, LLC | Professional | Current | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512086400000",
"number": "1477068211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17789 E CHARTER OAK RD",
"city": "LUTHER",
"state": "OK",
"postal_code": "730549583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17789 E CHARTER OAK RD",
"city": "LUTHER",
"state": "OK",
"postal_code": "730549583",
"telephone_number": "405-615-4841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "TESSICA",
"middle_name": "RACHEL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-01",
"last_updated": "2017-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "6495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Luther, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.