Individual provider Active NPI

Angelle Sieg Taylor, MASTERS

  • Counselor
  • Trussville, AL
National Provider Identifier
1770028821
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1992 Issued in AL
Practice address
3504 Vann Road Suite 100
Trussville, AL 35173
Phone
(205) 655-0585
NPI assigned
Dec 28, 2016
Last updated
Dec 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1992 AL Primary

Addresses

Primary practice location

3504 Vann Road Suite 100
Trussville, AL 35173

Mailing address

3504 Vann Road Suite 100
Trussville, AL 35173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240517001782 AL Practitioner - Mental Health Counselor 5395186696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grayson and Associates PCGroup PAC ID 9032108253, 65 clinicians

Practice addresses (Care Compare)

3504 Vann Rd
Suite 100
Birmingham, AL 35235-3221
Phone (205) 655-0585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1992ALMDSports Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grayson and Associates PC CurrentSince Apr 8, 2024 Accepting new patients
SVPS Psychiatric Services LLC PastSince Apr 8, 2024 Accepting new patients

Locations

2200 Lakeshore Dr
Ste 150
Homewood, AL 35209
Phone (205) 397-4774

100 Concourse Pkwy
Ste 101
Hoover, AL 35244
Phone (205) 444-0420

3504 Vann Rd
#100
Trussville, AL 35235
Phone (205) 655-0585

Organizations & group practices 2

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": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1770028821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 VANN ROAD SUITE 100",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "35173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 VANN ROAD SUITE 100",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "35173",
            "telephone_number": "205-655-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANGELLE",
        "middle_name": "SIEG",
        "name_prefix": "Mrs.",
        "credential": "MASTERS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "1992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trussville, AL

Sources for this page

Verify at the official NPI Registry.