Taylor Mobley, LPC ASSOCIATE

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

91645 Issued in TX

Practice address

3118 H G Mosley Pkwy
Longview, TX 75605-2941

Phone

(903) 200-1433

Fax

(903) 405-4047

NPI assigned

Jun 12, 2023

Sex

Male

Sole proprietor

Yes

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

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.

• Counseling Services, PLLC

  • Mental Health Counselor
  • Henderson, TX
  • NPI 1467863407

  Professional

  NPD
• Kranz Psychological Services, PLLC

  • Clinical Psychologist
  • Longview, TX
  • NPI 1679018287

  Professional

  NPD

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1609550524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 H G MOSLEY PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052941",
            "telephone_number": "903-200-1433",
            "fax_number": "903-405-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 H G MOSLEY PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052941",
            "telephone_number": "903-200-1433",
            "fax_number": "903-405-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "TAYLOR",
        "credential": "LPC ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "91645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobberly Baptist Church
• Erik Moberg
• Mobility Repair Specialists, Inc.
• Mobility Repair Specialists, Inc.
• John Erkel Mobley, C.R.N.A.
• Ashley Modisette
• Barbara Jane Modisette, ED.D., LPC, NCSP,
• Jessica Denise Modisette, APRN
• Tanya Renee Molett
• Deborah Lee Monroe, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.