Individual provider Active NPI

Taylor Nicole Jayson, LMHC

  • Mental Health Counselor
  • Wampsville, NY
National Provider Identifier
1730869652
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
013758 Issued in NY
Practice address
138 N Court St
Wampsville, NY 13163-7714
Phone
(315) 366-2327
NPI assigned
Jul 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 013758 NY Primary

Addresses

Primary practice location

138 N Court St
Wampsville, NY 13163-7714

Mailing address

138 N Court St
Wampsville, NY 13163-7714
Phone (315) 366-2327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240123000096 NY Practitioner - Mental Health Counselor 6204288533

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

PO Box
Suite 608
Wampsville, NY 13163-0608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1730869652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 N COURT ST",
            "city": "WAMPSVILLE",
            "state": "NY",
            "postal_code": "131637714",
            "telephone_number": "315-366-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 N COURT ST",
            "city": "WAMPSVILLE",
            "state": "NY",
            "postal_code": "131637714",
            "telephone_number": "315-366-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYSON",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wampsville, NY

Sources for this page

Verify at the official NPI Registry.