Individual provider Active NPI

Tammy E Taylor, M.ED, LMHC

  • Mental Health Counselor
  • Macclenny, FL
National Provider Identifier
1750575429
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH20456 Issued in FL
Practice address
84 W Lowder St
Macclenny, FL 32063-2638
Phone
(352) 374-5600
NPI assigned
Sep 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X MH20456 FL Primary

Addresses

Primary practice location

84 W Lowder St
Macclenny, FL 32063-2638

Mailing address

4300 SW 13TH St
Gainesville, FL 32608-4006
Phone (904) 945-4544

Other practice location 1

5560 Tara Dr
MacClenny, FL 32063
Phone (904) 945-4544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20241205001055 FL Practitioner - Mental Health Counselor 4587190236 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
MH20456FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Behavioral Healthcare, Inc. CurrentSince Nov 25, 2024 Accepting new patients
Meridian Behavioral Healthcare, Inc. Current Accepting new patients
Meridian Behavioral Healthcare, Inc. CurrentSince Nov 25, 2024 Accepting new patients

Locations

4300 SW 13th St
Gainesville, FL 32608

84 W Lowder St
Macclenny, FL 32063
Phone (352) 374-5615

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1750575429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326084006",
            "telephone_number": "904-945-4544",
            "fax_number": "904-783-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 W LOWDER ST",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632638",
            "telephone_number": "352-374-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5560 Tara Dr",
            "address_purpose": "LOCATION",
            "city": "MacClenny",
            "state": "FL",
            "postal_code": "32063",
            "country_code": "US",
            "telephone_number": "904-945-4544",
            "fax_number": "904-783-1901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TAMMY",
        "middle_name": "E",
        "credential": "M.ED, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macclenny, FL

Sources for this page

Verify at the official NPI Registry.