Individual provider Active NPI

Gayle M Taylor-Ford, LSCSW, LCAC

  • Clinical Social Worker
  • Emporia, KS
National Provider Identifier
1699741264
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4194 Issued in KS
Practice address
1200 Graphic Arts Rd Ste 100
Emporia, KS 66801-6204
Phone
(620) 208-6480
Fax
(620) 364-2551
NPI assigned
Feb 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4194 KS Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 410 KS

Addresses

Primary practice location

1200 Graphic Arts Rd Ste 100
Emporia, KS 66801-6204

Mailing address

420 Kennedy St
Burlington, KS 66839-1120
Phone (620) 364-2606

Other practice location 1

420 Kennedy St
Burlington, KS 66839-1120
Phone (620) 364-2606

Other identifiers 5

IdentifierTypeStateIssuer
30003878840007MedicaidKS
30003878840001MedicaidKS
30003878840002MedicaidKS
30003878840006MedicaidKS
0000116078OtherKSBC/BS KANSAS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
410KSMDAddiction (Substance Use Disorder) Counselor
4194KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Services LLC Addiction (Substance Use Disorder) PastSince Jan 1, 1990 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1699741264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 KENNEDY ST",
            "city": "BURLINGTON",
            "state": "KS",
            "postal_code": "668391120",
            "telephone_number": "620-364-2606",
            "fax_number": "620-364-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GRAPHIC ARTS RD STE 100",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668016204",
            "telephone_number": "620-208-6480",
            "fax_number": "620-364-2551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Kennedy St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "KS",
            "postal_code": "668391120",
            "country_code": "US",
            "telephone_number": "620-364-2606",
            "fax_number": "620-364-2551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR-FORD",
        "first_name": "GAYLE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LSCSW, LCAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4194",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "410",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003878840007",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003878840001",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003878840002",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003878840006",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS KANSAS",
            "identifier": "0000116078",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.