Individual provider Active NPI

Reginald Taylor Jr.

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1487585147
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
27729 Issued in FL
Practice address
905 Killarney Ave FL 32211
Jacksonville, FL 32211-5613
Phone
(904) 762-6249
NPI assigned
May 28, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 27729 FL Primary

Addresses

Primary practice location

905 Killarney Ave FL 32211
Jacksonville, FL 32211-5613

Mailing address

905 Killarney Ave FL 32211
Jacksonville, FL 32211-5613
Phone (904) 762-6249

Other practice location 1

4615 Philips Hwy
Jacksonville, FL 32207-7265
Phone (904) 739-7022

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
27729FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1487585147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 KILLARNEY AVE FL 32211",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115613",
            "telephone_number": "904-762-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 KILLARNEY AVE FL 32211",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115613",
            "telephone_number": "904-762-6249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4615 Philips Hwy",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322077265",
            "country_code": "US",
            "telephone_number": "904-739-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "REGINALD",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "27729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.