Individual provider Active NPI

Karolyn Tara Taylor

  • Professional Counselor
  • Menomonee Falls, WI
National Provider Identifier
1508331067
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8723 Issued in WI
Practice address
N94W15802 Ridgeview Dr
Menomonee Falls, WI 53051-1534
Phone
(414) 975-9867
NPI assigned
Oct 10, 2018
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8723 WI Primary

Addresses

Primary practice location

N94W15802 Ridgeview Dr
Menomonee Falls, WI 53051-1534

Mailing address

N94W15802 Ridgeview Dr
Menomonee Falls, WI 53051-1534
Phone (414) 975-9867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240520000883 WI Practitioner - Mental Health Counselor 3375984552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Sebastian Family Psycholgy Practice Professional Past Accepting new patients
Sebastian Family Psycholgy Practice Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1508331067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N94W15802 RIDGEVIEW DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530511534",
            "telephone_number": "414-975-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N94W15802 RIDGEVIEW DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530511534",
            "telephone_number": "414-975-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KAROLYN",
        "middle_name": "TARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

Verify at the official NPI Registry.