Individual provider Active NPI

Joe Raymond Taylor, LMFT

  • Marriage & Family Therapist
  • Chico, CA
National Provider Identifier
1710009683
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT46406 Issued in CA
Practice address
1600 Humboldt Rd Ste 3
Chico, CA 95928-8100
Phone
(530) 410-0505
Fax
(530) 487-8608
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT46406 CA Primary

Addresses

Primary practice location

1600 Humboldt Rd Ste 3
Chico, CA 95928-8100

Mailing address

1600 Humboldt Rd Ste 3
Chico, CA 95928-8100
Phone (530) 410-0505

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

LicenseStateTypeSpecialty
LMFT46406CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chico Creek Counseling for Marriage and Family Apc Marriage & Family Therapist CurrentSince Jan 17, 2021 Accepting new patients

Locations

1600 Humboldt Rd
Ste 3
Chico, CA 95928
Phone (530) 410-0505

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1710009683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HUMBOLDT RD STE 3",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959288100",
            "telephone_number": "530-410-0505",
            "fax_number": "530-487-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HUMBOLDT RD STE 3",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959288100",
            "telephone_number": "530-410-0505",
            "fax_number": "530-487-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JOE",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT46406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.