Individual provider Active NPI

Corinne Nicole Taylor-Dauses, LPC

  • Counselor
  • Tasley, VA
National Provider Identifier
1689394926
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701011724 Issued in VA
Practice address
24233 Lankford Highway
Tasley, VA 23441
Phone
(757) 442-3636
NPI assigned
Aug 29, 2022
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701011724 VA Primary

Addresses

Primary practice location

24233 Lankford Highway
Tasley, VA 23441

Mailing address

PO Box 133
Capeville, VA 23313-0133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104000750 VA Practitioner - Mental Health Counselor 2264965862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Shore Community MH Mr Sas Services BoardGroup PAC ID 8729185095, 17 clinicians

Practice addresses (Care Compare)

19056 Greenbush Rd
Parksley, VA 23421-2510
Phone (757) 665-1260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701011724VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Community MH Mr Sas Services Board CurrentSince Aug 29, 2024 Accepting new patients
Eastern Shore Community Services Board CurrentSince Aug 29, 2024 Accepting new patients

Locations

19056 Greenbush Rd
Parksley, VA 23421
Phone (757) 665-1260

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, 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": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1689394926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133",
            "city": "CAPEVILLE",
            "state": "VA",
            "postal_code": "233130133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24233 LANKFORD HIGHWAY",
            "city": "TASLEY",
            "state": "VA",
            "postal_code": "23441",
            "telephone_number": "757-442-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-DAUSES",
        "first_name": "CORINNE",
        "middle_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701011724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tasley, VA

Sources for this page

Verify at the official NPI Registry.