Kylie A Taylor, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5725-125 Issued in WI

Practice address

322 Dewitt St
Portage, WI 53901-2114

Phone

(608) 745-9292

Fax

(608) 745-9293

NPI assigned

Jun 24, 2013

Last updated

Mar 29, 2017By 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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Insight Counseling & Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
  • NPI 1447673702
  Medicare reassignment NPD
• Journey Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Portage, WI
  • NPI 1497207054
  NPD (past)

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1699114611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KESSEL CT STE 105",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537116227",
            "telephone_number": "608-745-9292",
            "fax_number": "608-745-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 DEWITT ST",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539012114",
            "telephone_number": "608-745-9292",
            "fax_number": "608-745-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KYLIE",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "5725-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699114611",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leonas Pranas Sulas, MD
• Dalia Suliene, MD
• Meredith Sullivan, MS, MA
• Kelly Sung
• James M Swan Jr., APNP
• Stewart Ferguson Taylor Jr., MD
• Michael Tennier, C.R.N.A.
• Sophie M Tessner, PHARMD
• The Arc of Columbia County
• Terra Thimm

• Mental Health Counselor in Portage, WI
• Providers in Portage, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.