Active NPI
Zachary Taylor
- Counselor
- Indianapolis, IN
National Provider Identifier
1831824283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PENDING
- Practice address
- 5638 Professional Cir
Indianapolis, IN 46241-5042 - Phone
- (888) 714-1927
- NPI assigned
- Jul 20, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | PENDING | IN | Primary |
Addresses
Primary practice location
5638 Professional Cir
Indianapolis, IN 46241-5042
Mailing address
5638 Professional Cir
Indianapolis, IN 46241-5042
Phone (888) 714-1927
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 |
|---|---|---|---|
| PENDING | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cummins Behavioral Health Systems, Incorporated | Current | Accepting new patients | |
| Fre Clear Mind Center, Inc. | Past | Accepting new patients |
Locations
5638 Professional Cir
Indianapolis, IN 46241
Phone (317) 247-8900
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 and National Provider Directory roles.
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-
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- Fishers, IN
- NPI 1669170684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1831824283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5638 PROFESSIONAL CIR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462415042",
"telephone_number": "888-714-1927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5638 PROFESSIONAL CIR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462415042",
"telephone_number": "888-714-1927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ZACHARY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-20",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IN",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.