Active NPI
Taylor Elizabeth Bagley, LMHC
- Mental Health Counselor
- North Liberty, IA
National Provider Identifier
1780367045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 107561
- Practice address
- 575 Cameron Way Ste a
North Liberty, IA 52317-4734 - Phone
- (319) 626-2558
- NPI assigned
- Aug 11, 2023
- Last updated
- Aug 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 107561 | IA | Primary |
Addresses
Primary practice location
575 Cameron Way Ste a
North Liberty, IA 52317-4734
Mailing address
607 H Ave
Kalona, IA 52247-9771
Phone (319) 325-9035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107561 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imagine Therapy Solutions, PLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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": "1691712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1780367045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 H AVE",
"city": "KALONA",
"state": "IA",
"postal_code": "522479771",
"telephone_number": "319-325-9035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 CAMERON WAY STE A",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523174734",
"telephone_number": "319-626-2558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGLEY",
"first_name": "TAYLOR",
"middle_name": "ELIZABETH",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-11",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "107561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Liberty, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.