Individual provider Active NPI

Trudi Y. Taylor, PH.D

  • Counselor
  • Plano, TX
National Provider Identifier
1851379697
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
80848 Issued in TX
Practice address
8105 Rasor Blvd Ste 117
Plano, TX 75024-0118
Phone
(919) 272-1888
NPI assigned
Jan 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 759 NC
Counselor 101Y00000X 80848 TX Primary

Addresses

Primary practice location

8105 Rasor Blvd Ste 117
Plano, TX 75024-0118

Mailing address

9274 Park Garden Dr
Frisco, TX 75035-3167
Phone (919) 272-1888

Other practice location 1

9274 Park Garden Dr
Frisco, TX 75035-3167
Phone (919) 272-1888

Other identifiers 1

IdentifierTypeStateIssuer
81869OtherNCBC/BS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 25, 2024 through Jan 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
80848TXMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1851379697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9274 PARK GARDEN DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750353167",
            "telephone_number": "919-272-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 RASOR BLVD STE 117",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240118",
            "telephone_number": "919-272-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9274 Park Garden Dr",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750353167",
            "country_code": "US",
            "telephone_number": "919-272-1888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TRUDI",
        "middle_name": "Y.",
        "name_prefix": "Ms.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "759",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "80848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "81869",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.