Active NPI
Angela Sue Taylor, LPC
- Mental Health Counselor
- Lawton, OK
National Provider Identifier
1821117599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4503
- Practice address
- 5002 SW Lee Boulevard
Lawton, OK 73505-8320 - Phone
- (580) 531-4512
- Fax
- (580) 531-4519
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0100801 | NM | |
| Mental Health Counselor | 101YM0800X | 4503 | OK | Primary |
Addresses
Primary practice location
5002 SW Lee Boulevard
Lawton, OK 73505-8320
Mailing address
5002 SW Lee Boulevard
Lawton, OK 73505-8320
Phone (580) 531-4512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 15, 2025 through Apr 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0100801 | NM | MD | Mental Health Counselor |
| 4503 | OK | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1821117599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5002 SW LEE BOULEVARD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735058320",
"telephone_number": "580-531-4512",
"fax_number": "580-531-4519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5002 SW LEE BOULEVARD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735058320",
"telephone_number": "580-531-4512",
"fax_number": "580-531-4519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ANGELA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0100801",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "4503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.