Active NPI
Taylor Nolan
- Counselor
- Dover, NJ
National Provider Identifier
1669101747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 37PC00863700
- Practice address
- 58 N Sussex St
Dover, NJ 07801-4259 - Phone
- (973) 989-7500
- NPI assigned
- Jun 6, 2022
- Last updated
- May 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 37PC00863700 | NJ | Primary |
| Mental Health Counselor | 101YM0800X | 37AC00482200 | NJ |
Addresses
Primary practice location
58 N Sussex St
Dover, NJ 07801-4259
Mailing address
110 Santa Fe TRL
Hopatcong, NJ 07843-1247
Phone (862) 222-0525
Other practice location 1
110 Santa Fe Trl
Hopatcong, NJ 07843-1247
Phone (862) 222-0525
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | taylor@exceltreatmentcenter.com | Direct | Excel Treatment Center Of Dover, LLC |
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 |
|---|---|---|---|
| 37PC00863700 | NJ | MD | Counselor |
| 37AC00482200 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Treatment Center of Dover, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Dover, NJ
- NPI 1679906465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1669101747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 SANTA FE TRL",
"city": "HOPATCONG",
"state": "NJ",
"postal_code": "078431247",
"telephone_number": "862-222-0525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 N SUSSEX ST",
"city": "DOVER",
"state": "NJ",
"postal_code": "078014259",
"telephone_number": "973-989-7500"
}
],
"practiceLocations": [
{
"address_1": "110 Santa Fe Trl",
"address_purpose": "LOCATION",
"city": "Hopatcong",
"state": "NJ",
"postal_code": "078431247",
"country_code": "US",
"telephone_number": "862-222-0525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOLAN",
"first_name": "TAYLOR",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37PC00863700",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37AC00482200",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "taylor@exceltreatmentcenter.com",
"affiliation": "Y",
"endpointDescription": "work email",
"affiliationName": "Excel Treatment Center Of Dover, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "58 N Sussex St",
"city": "Dover",
"state": "NJ",
"country_code": "US",
"postal_code": "078013912",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dover, NJ
- Neil-Kavita Pharmacy Inc (Community Pharmacy)
- Dylan Nelson-Sease, LPC
- Neuro-Specialists of Morris-Sussex, P.a.
- New Smile Dental
- Michelle Anne Nielsen
- North Jersey Dental LL, LLC
- Coleen M O'Connor, CMT
- Orthopedic Associates of West Jersey, P.a.
- Priscilla Ortiz, MA., LAC, NCC
- Christine Federline Pagano, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.