Individual provider Active NPI

Alice R Taylor

  • Counselor
  • Lockhart, TX
National Provider Identifier
1861779308
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
63314 Issued in TX
Practice address
1505 S Main St
Suite 1004
Lockhart, TX 78644-3945
Phone
(512) 995-1777
NPI assigned
Nov 11, 2011
Last updated
Nov 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 63314 TX Primary

Addresses

Primary practice location

1505 S Main St
Suite 1004
Lockhart, TX 78644-3945

Mailing address

PO Box 801
Lockhart, TX 78644-0801
Phone (512) 995-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213002562 TX Practitioner - Mental Health Counselor 3678916046 Practice locations: Lockhart, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1505 S Main St
Suite 1005
Lockhart, TX 78644-3945
Phone (210) 399-1197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63314TXMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320969600000",
    "number": "1861779308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786440801",
            "telephone_number": "512-995-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S MAIN ST",
            "address_2": "SUITE 1004",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786443945",
            "telephone_number": "512-995-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ALICE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-11",
        "last_updated": "2011-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "63314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockhart, TX

Sources for this page

Verify at the official NPI Registry.