Individual provider Active NPI

Joan-Alice Taylor, P.T., PSY.D., L.P.C.

  • Professional Counselor
  • Newington, CT
National Provider Identifier
1710059167
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
433 Issued in CT
Practice address
9 Elmwood CT
Newington, CT 06111-1401
Phone
(860) 953-1204
Fax
(860) 953-1208
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 433 CT Primary
Physical Therapist 225100000X 1617 CT

Addresses

Primary practice location

9 Elmwood CT
Newington, CT 06111-1401

Mailing address

372 Willard Ave
Newington, CT 06111-2319
Phone (860) 667-2706

Other identifiers 1

IdentifierTypeStateIssuer
080001617CT01OtherCTANTHEM BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240402002286 CT Practitioner - Mental Health Counselor 3779630181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9 Elmwood CT
Newington, CT 06111-1401
Phone (860) 953-1204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1617CTMDPhysical Therapist
433CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Therapy Center PC Physical Therapist CurrentSince Feb 10, 2024 Accepting new patients

Locations

9 Elmwood Ct
Newington, CT 06111
Phone (860) 953-1204

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1710059167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 WILLARD AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112319",
            "telephone_number": "860-667-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ELMWOOD CT",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061111401",
            "telephone_number": "860-953-1204",
            "fax_number": "860-953-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JOAN-ALICE",
        "name_prefix": "Dr.",
        "credential": "P.T., PSY.D., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "433",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "1617",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "080001617CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

Verify at the official NPI Registry.