Individual provider Active NPI

Nathaniel David Taylor, LIMHP

  • Mental Health Counselor
  • Salem, NH
National Provider Identifier
1629633805
Registry record updated May 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2488 Issued in NH
Practice address
6 Manor Pkwy
Salem, NH 03079-2841
Phone
(866) 957-3125
NPI assigned
May 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2208 NE
Mental Health Counselor 101YM0800X 2488 NH Primary

Addresses

Primary practice location

6 Manor Pkwy
Salem, NH 03079-2841

Mailing address

2615 O St Ste 4
Lincoln, NE 68510-1385
Phone (402) 450-8645

Other practice location 1

2615 O St Ste 4
Lincoln, NE 68510-1385
Phone (402) 450-8645

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

LicenseStateTypeSpecialty
2208NEMDObstetrics & Gynecology Physician
2488NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New England Counseling Services LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651968000000",
    "number": "1629633805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 O ST STE 4",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101385",
            "telephone_number": "402-450-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MANOR PKWY",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792841",
            "telephone_number": "866-957-3125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2615 O St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685101385",
            "country_code": "US",
            "telephone_number": "402-450-8645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "NATHANIEL",
        "middle_name": "DAVID",
        "credential": "LIMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-03",
        "last_updated": "2022-05-08",
        "certification_date": "2022-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2208",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2022; 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.