Taylor Nicole Bacon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2355 Second St
Cuyahoga Falls, OH 44221-2557

Phone

(234) 888-3031

NPI assigned

Dec 15, 2022

Last updated

Dec 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Taylor Nicole Thrasher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1669184172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9261 SHADY LAKE DR APT 106",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415281",
            "telephone_number": "740-360-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 SECOND ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212557",
            "telephone_number": "234-888-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "THRASHER",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Azalea Institute-Center for MFT & LPC Advancement, LLC (The Azalea Institute)
• Nancy Ann Azar, MS, RD, LD
• Huda Abdul Aziz, D.D.S.
• Massood R Babai, MD
• Kristin Therese Baclawski, RPH
• Sarah Badger
• Michael David Bage, MD
• Abbass Bagheri, MD
• Chandni Patel Baiko, DO
• Kevin R Bailey, PA

• Mental Health Counselor in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.