Tamielle Maree Taylor, MA, LPC, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

93538 Issued in TX

Practice address

2640 E League City Pkwy Ste 104-930
League City, TX 77573-3368

Phone

(240) 328-8865

NPI assigned

Jun 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Expansive Light Psychotherapy PLLC

  • Mental Health Counselor
  • League City, TX
  • NPI 1285498865
  NPD Authorized official

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1487214771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 E LEAGUE CITY PKWY STE 104-930",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733368",
            "telephone_number": "240-328-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 E LEAGUE CITY PKWY STE 104-930",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733368",
            "telephone_number": "240-328-8865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4014J Mountville Rd",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "MD",
            "postal_code": "217557713",
            "country_code": "US",
            "telephone_number": "240-986-1001",
            "fax_number": "240-986-1002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 Democracy Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208177500",
            "country_code": "US",
            "telephone_number": "646-453-6777",
            "fax_number": "212-337-9841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TAMIELLE",
        "middle_name": "MAREE",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC11314",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "93538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Dawn Tatom, ARNP
• Taylor Sport Chiropractic PLLC
• Kristen Taylor
• Lauren N Taylor, LVN
• Nicole Taylor, CCC-SLP
• Thea M Taylor, DC
• Janice M. Teer, M.D.
• Jack A Teitsma, PSY.D.
• Tejas Anesthesia PLLC
• Meaghan Terminella, APRN

• Professional Counselor in League City, TX
• Providers in League City, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.