Individual provider Active NPI

Charlene Taylor

  • Professional Counselor
  • Sylvania Township, OH
National Provider Identifier
1649694704
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.0500342 Issued in OH
Practice address
4149 N Holland Sylvania Rd
Suite 8
Sylvania Township, OH 43623-4808
Phone
(419) 206-5367
NPI assigned
Feb 10, 2014
Last updated
Feb 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.0500342 OH Primary

Addresses

Primary practice location

4149 N Holland Sylvania Rd
Suite 8
Sylvania Township, OH 43623-4808

Mailing address

4149 N Holland Sylvania Rd
Suite 8
Sylvania Township, OH 43623-4808
Phone (419) 206-5367

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
C.0500342OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Sunflower Arts, Counseling & Education LLC Professional 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1649694704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4149 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE 8",
            "city": "SYLVANIA TOWNSHIP",
            "state": "OH",
            "postal_code": "436234808",
            "telephone_number": "419-206-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4149 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE 8",
            "city": "SYLVANIA TOWNSHIP",
            "state": "OH",
            "postal_code": "436234808",
            "telephone_number": "419-206-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHARLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.0500342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.