Active NPI
Amadi Shaunte Taylor
- Mental Health Counselor
- Flower Mound, TX
National Provider Identifier
1629817382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 91817
- Practice address
- 2670 Firewheel Dr Ste a
Flower Mound, TX 75028-7596 - Phone
- (817) 663-7633
- NPI assigned
- May 22, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 91817 | TX | Primary |
Addresses
Primary practice location
2670 Firewheel Dr Ste a
Flower Mound, TX 75028-7596
Mailing address
2352 Heartland Rd
Corinth, TX 76210-1418
Phone (940) 206-4324
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 |
|---|---|---|---|
| 91817 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unstuck Space PLLC | Mental Health | 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": "1716336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1629817382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2352 HEARTLAND RD",
"city": "CORINTH",
"state": "TX",
"postal_code": "762101418",
"telephone_number": "940-206-4324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2670 FIREWHEEL DR STE A",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750287596",
"telephone_number": "817-663-7633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "AMADI",
"middle_name": "SHAUNTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-22",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "91817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.