Misty Dawn Taylor, BS/MHP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

T46054482630 Issued in IL

Practice address

1801 Fox Dr
Champaign, IL 61820-7236

Phone

(217) 693-4560

Fax

(121) 739-8017

NPI assigned

Jul 7, 2008

Last updated

Jul 7, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1558524843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 FOX DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207236",
            "telephone_number": "217-693-4560",
            "fax_number": "121-739-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FOX DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207236",
            "telephone_number": "217-693-4560",
            "fax_number": "121-739-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MISTY",
        "middle_name": "DAWN",
        "credential": "BS/MHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "IL",
            "license": "T46054482630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Taylor, RN
• Erica Taylor, LPC
• Jenny Taylor, LCPC
• Joseph Taylor, RBT
• Laurie Taylor
• Robert Charles Taylor, LCSW
• Timothy Neal Taylor, MS ED., LCPC
• Sololeya Teklehaimanot, LCSW
• Telos Health and Wellness Services, LLC
• Diojanae Terry

• Case Manager/Care Coordinator in Champaign, IL
• Providers in Champaign, IL by specialty
• Case Manager/Care Coordinator in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.