Taylor Ross Merritt, LPHA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180017712 Issued in IL

Practice address

820 W Highway 50 Ste a
O Fallon, IL 62269-1827

Phone

(618) 792-5200

Fax

(618) 607-0562

NPI assigned

Sep 8, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Chestnut Health Systems Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bloomington, IL
  • NPI 1366431686
  Medicare reassignment
• Amy C Champion, LLC

  • Professional Counselor
  • O Fallon, IL
  • NPI 1508536939
  NPD (past)

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1740959287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W HIGHWAY 50 STE A",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691827",
            "telephone_number": "618-792-5200",
            "fax_number": "618-607-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W HIGHWAY 50 STE A",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691827",
            "telephone_number": "618-792-5200",
            "fax_number": "618-607-0562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 E Hanover St",
            "address_purpose": "LOCATION",
            "city": "New Baden",
            "state": "IL",
            "postal_code": "622651811",
            "country_code": "US",
            "telephone_number": "618-792-5200",
            "fax_number": "618-607-0562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Northgate Industrial Dr",
            "address_purpose": "LOCATION",
            "city": "Granite City",
            "state": "IL",
            "postal_code": "620406805",
            "country_code": "US",
            "telephone_number": "618-877-4420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "TAYLOR",
        "middle_name": "ROSS",
        "credential": "LPHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180017712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rai'Annah Lori Mendez
• Jeannette Mendoza-Martinez
• Myah Rae Mense
• Shannon Mensing, PHARMD
• Michelle Denise Merrick, OTD
• Haley Merten
• Metro-East Anp Services Inc
• Metro-East Services, Inc.
• Emily Meyer, DC
• Michael Stier Therapy LLC

• Mental Health Counselor in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.