Kenneth James Taylor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-42204 Issued in ID

Practice address

707 N 7TH Ave
Pocatello, ID 83201-5785

Phone

(208) 242-3044

NPI assigned

Apr 8, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cognitive Restructuring LLCGroup PAC ID 9830510890, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Cognitive Restructuring, LLC.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pocatello, ID
  • NPI 1255971024

  Mental Health

  Medicare reassignment Care Compare group NPD Authorized official
• Labyrinth Assessment & Behavioral Services PLLC

  • Community/Behavioral Health Agency
  • Malad City, ID
  • NPI 1013494301

  Mental Health

  NPD
• Redford Counseling and Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pocatello, ID
  • NPI 1063837003

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1523145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1528565488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N 7TH AVE STE D",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015796",
            "telephone_number": "208-242-3044",
            "fax_number": "208-904-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N 7TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015785",
            "telephone_number": "208-242-3044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5026 Elizabeth Ave",
            "address_purpose": "LOCATION",
            "city": "Chubbuck",
            "state": "ID",
            "postal_code": "832021606",
            "country_code": "US",
            "telephone_number": "208-757-0803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KENNETH",
        "middle_name": "JAMES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-08",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "37236",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-42204",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "10046",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandy Tate
• Evan Tayler, DO
• Abigail Taylor
• Amanda Taylor
• Justin Bryan Taylor
• Patricia Taylor, MS, CCC-SLP/A
• William Lorin Taylor III, PA-C
• Angela Marie Teige, DO
• Mustafa Jihad Tekarli, PHARMD
• Holly Tennyson

• Clinical Social Worker in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.