Individual provider Active NPI

Malique Saquan Taylor

  • Professional Counselor
  • Overland Park, KS
National Provider Identifier
1811623648
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
04118 Issued in KS
Practice address
10865 Grandview Dr Ste 2065
Overland Park, KS 66210-1519
Phone
(913) 390-3711
NPI assigned
Jul 25, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 04118 KS Primary

Addresses

Primary practice location

10865 Grandview Dr Ste 2065
Overland Park, KS 66210-1519

Mailing address

10865 Grandview Dr Ste 2065
Overland Park, KS 66210-1519
Phone (760) 847-4946

Other practice location 1

480 S Rogers Rd
Olathe, KS 66062-1706
Phone (913) 764-2887

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

LicenseStateTypeSpecialty
04118KSMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1811623648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10865 GRANDVIEW DR STE 2065",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101519",
            "telephone_number": "760-847-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10865 GRANDVIEW DR STE 2065",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101519",
            "telephone_number": "913-390-3711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 S Rogers Rd",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660621706",
            "country_code": "US",
            "telephone_number": "913-764-2887",
            "fax_number": "913-768-1437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MALIQUE",
        "middle_name": "SAQUAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-25",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "04118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.