Individual provider Active NPI

Linda Marie Taylor, LCSW

  • Mental Health Counselor
  • Provo, UT
National Provider Identifier
1508118456
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
719 N 1890 W Ste 38B
Provo, UT 84601-1333
Phone
(385) 626-9345
NPI assigned
Oct 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

719 N 1890 W Ste 38B
Provo, UT 84601-1333

Mailing address

719 N 1890 W
Ste 38B
Provo, UT 84601-1333
Phone (385) 626-9345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170804003339 UT Practitioner - Clinical Social Worker 8123397791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Made Simple PLLCGroup PAC ID 0042581647, 2 clinicians

Practice addresses (Care Compare)

665 N 1890
Suite 47a
Provo, UT 84601-1326
Phone (385) 626-9345

675 N 1890
Suite 45B
Provo, UT 84601-1326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Made Simple PLLC Clinical CurrentSince May 3, 2017 Accepting new patients

Locations

719 N 1890 W
Ste 38B
Provo, UT 84601
Phone (385) 626-9345

665 N 1890 W
Ste 47A
Provo, UT 84601
Phone (385) 335-4917

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": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508118456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 N 1890 W",
            "address_2": "STE 38B",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011333",
            "telephone_number": "385-626-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N 1890 W STE 38B",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011333",
            "telephone_number": "385-626-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.