Individual provider Active NPI

Kelsey Rae Taylor, LSCSW

  • Clinical Social Worker
  • Manhattan, KS
National Provider Identifier
1730729005
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05390 Issued in KS
Practice address
1558 Hayes Drive
Mailing Address 2
Manhattan, KS 66502-6650
Phone
(785) 587-4315
NPI assigned
Jan 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10858 KS
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 05390 KS Primary

Addresses

Primary practice location

1558 Hayes Drive
Mailing Address 2
Manhattan, KS 66502-6650

Mailing address

PO Box 747
Manhattan, KS 66505-0747
Phone (785) 587-4300

Other names 1

  • Kelsey Rae Harwood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20210304001351 KS Practitioner - Clinical Social Worker 1456767193 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

767 Ash St
Lawrence, KS 66044-5521
Phone (785) 330-3123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10858KSMDSocial Worker
05390KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pawnee Mental Health Service, Inc. CurrentSince Feb 17, 2021 Accepting new patients
Pawnee Mental Health Service, Inc. CurrentSince Feb 17, 2021 Accepting new patients
Ktaylor Therapy and Supervision LLC CurrentSince Jul 23, 2024 Accepting new patients

Locations

814 Caroline Ave
Junction City, KS 66441
Phone (785) 762-5250

1558 Hayes Dr
Manhattan, KS 66502
Phone (785) 587-4315

1558 Hayes Dr
#2
Manhattan, KS 66502
Phone (785) 587-4315

2001 Claflin Rd
Manhattan, KS 66502

Organizations & group practices 3

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": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1730729005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 747",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665050747",
            "telephone_number": "785-587-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 HAYES DRIVE",
            "address_2": "MAILING ADDRESS 2",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665026650",
            "telephone_number": "785-587-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KELSEY",
        "middle_name": "RAE",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "10858",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "HARWOOD",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.