Organization Active NPI

Clare Taylor Counseling PLLC

  • Adult Mental Health Clinic/Center
  • Clarksville, TN
National Provider Identifier
1831670959
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CLARE TAYLOR COUNSELING PLLC
Practice address
119 N 3Rd St Ofc 24
Clarksville, TN 37040-3401
Phone
(931) 553-3029
Fax
(931) 241-5406
NPI assigned
Aug 27, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Clare Taylor, LPC-MHSPNPI 1861862815
Title
Administrator
Phone
(931) 553-3029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

119 N 3rd St
Ofc 24
Clarksville, TN 37040
Phone (931) 553-3029

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

NPPES NPI Registry

Primary practice location

119 N 3Rd St Ofc 24
Clarksville, TN 37040-3401

Mailing address

119 N 3Rd St Ofc 24
Clarksville, TN 37040-3401
Phone (931) 553-3029

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
Q044025MedicaidTN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 28, 2019.

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1831670959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N 3RD ST OFC 24",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403401",
            "telephone_number": "931-553-3029",
            "fax_number": "931-241-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N 3RD ST OFC 24",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403401",
            "telephone_number": "931-553-3029",
            "fax_number": "931-241-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARE TAYLOR COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CLARE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "931-553-3029",
        "authorized_official_credential": "LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q044025",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.