Active NPI
Kathryn Faith Taylor, M.A.L.P.C
- Counselor
- Mattawan, MI
National Provider Identifier
1609468032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401000557
- Practice address
- 23166 Red Arrow Hwy
Mattawan, MI 49071-7754 - Phone
- (269) 352-3221
- NPI assigned
- Feb 8, 2021
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401000557 | MI | Primary |
Addresses
Primary practice location
23166 Red Arrow Hwy
Mattawan, MI 49071-7754
Mailing address
23166 Red Arrow Hwy
Mattawan, MI 49071-7754
Phone (269) 352-3221
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401000557 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Kneip, PH.D., P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Clarkston, MI
- NPI 1679739700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1609468032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23166 RED ARROW HWY",
"city": "MATTAWAN",
"state": "MI",
"postal_code": "490717754",
"telephone_number": "269-352-3221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23166 RED ARROW HWY",
"city": "MATTAWAN",
"state": "MI",
"postal_code": "490717754",
"telephone_number": "269-352-3221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "KATHRYN",
"middle_name": "FAITH",
"credential": "M.A.L.P.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-08",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401000557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mattawan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.