Individual provider Active NPI

Sam Taylor, LMHC

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1659428662
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH3175 Issued in FL
Practice address
4400 Bayou Blvd
Ste 8
Pensacola, FL 32503
Phone
(850) 474-9882
Fax
(850) 479-1821
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH3175 FL Primary

Addresses

Primary practice location

4400 Bayou Blvd
Ste 8
Pensacola, FL 32503

Mailing address

4400 Bayou Blvd
8
Pensacola, FL 32503
Phone (850) 474-9882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 20, 2024 through Aug 20, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH3175FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Stone Counseling LLC PastSince Mar 24, 2024 Accepting new patients
Bingham-Turner and Associates Inc PastSince May 7, 2026 Accepting new patients

Organizations & group practices 2

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659428662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BAYOU BLVD",
            "address_2": "8",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32503",
            "telephone_number": "850-474-9882",
            "fax_number": "850-479-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BAYOU BLVD",
            "address_2": "STE 8",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32503",
            "telephone_number": "850-474-9882",
            "fax_number": "850-479-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SAM",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.