Active NPI
Trudi Y. Taylor, PH.D
- Counselor
- Plano, TX
National Provider Identifier
1851379697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 80848
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81869 | Other | NC | BC/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
| License | State | Type | Specialty |
|---|---|---|---|
| 80848 | TX | MD | Counselor |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.