Active NPI
Taffy A. Gaston, LPC
- Professional Counselor
- Moline, IL
National Provider Identifier
1528626207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178002175
- Practice address
- 2424 40TH Ave Apt 5
Moline, IL 61265-7215 - Phone
- (309) 981-7239
- NPI assigned
- May 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178002175 | Primary |
Addresses
Primary practice location
2424 40TH Ave Apt 5
Moline, IL 61265-7215
Mailing address
819 Seward St Apt DG
Evanston, IL 60202-2873
Phone (847) 293-0306
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1528626207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 SEWARD ST APT DG",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602022873",
"telephone_number": "847-293-0306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 40TH AVE APT 5",
"city": "MOLINE",
"state": "IL",
"postal_code": "612657215",
"telephone_number": "309-981-7239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASTON",
"first_name": "TAFFY",
"middle_name": "A.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-29",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": "178002175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.