D. Taylor Watts, L.M.H.C,

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4872 Issued in MA

Practice address

3095 Coronado Trail
Rimrock, AZ 86335-0230

Phone

(928) 567-1322

Fax

(928) 567-1323

NPI assigned

May 8, 2013

Last updated

May 8, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Copper Canyon Academy

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Rimrock, AZ
  • NPI 1205070786
  NPD (past)
• Copper Canyon Academy

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Lake Montezuma, AZ
  • NPI 1275978900
  NPD (past)

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1851736565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230",
            "city": "RIMROCK",
            "state": "AZ",
            "postal_code": "863350230",
            "telephone_number": "928-567-1322",
            "fax_number": "928-567-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3095 CORONADO TRAIL",
            "city": "RIMROCK",
            "state": "AZ",
            "postal_code": "863350230",
            "telephone_number": "928-567-1322",
            "fax_number": "928-567-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "D.",
        "middle_name": "TAYLOR",
        "name_prefix": "Ms.",
        "credential": "L.M.H.C,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MA",
            "license": "4872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sedona Sky Opco LLC (Sedona Sky Academy)
• Marley Adrianna Senger, FNP-C
• Linda Womack Slater, RN
• Stevie Stanford, PHD
• Shelly Thran, L.AC., DIPL O.M.

• Professional Counselor in Rimrock, AZ
• Providers in Rimrock, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.