Amanda Genae Taylor, MS, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

79425 Issued in TX

Practice address

6300 Harry Hines Blvd Ste 900
Dallas, TX 75235-5216

Phone

(214) 456-6840

NPI assigned

Jan 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Genae Frazier Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

Mental Health Counselor

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Children's Health System of Texas

  dba Children's Medical Center of Dallas

  • Children's Hospital
  • Dallas, TX
  • NPI 1194743013
  Medicare reassignment NPD
• Children's Health System of Texas

  dba First Pharmacy Pavilion

  • Community/Retail Pharmacy
  • Dallas, TX
  • NPI 1881830602
  NPD

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1548858384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 HARRY HINES BLVD STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752355216",
            "telephone_number": "214-456-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 HARRY HINES BLVD STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752355216",
            "telephone_number": "214-456-6840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Balcones Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787314298",
            "country_code": "US",
            "telephone_number": "214-659-1293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "AMANDA",
        "middle_name": "GENAE",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "FRAZIER",
            "middle_name": "GENAE",
            "credential": "M.S., LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abigail Taylor
• Aja Taylor, ARNP
• Alejandra Ann Taylor, PT, DPT
• Alexis Taylor, PH.D.
• Alisa M Taylor, COA
• Anastasia Taylor, FNP
• Angela Dawn Taylor, LPC
• Angenette Shane Taylor, CNP
• Aslan Taylor, PA-C
• Avion Taylor

• Professional Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.