Individual provider Active NPI

Kayla Rae Taylor, LPCC, LPC

  • Mental Health Counselor
  • Duluth, MN
National Provider Identifier
1871319509
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC04038 Issued in MN
Practice address
530 E 2ND St
Duluth, MN 55805-1913
Phone
(218) 786-8364
NPI assigned
Nov 26, 2024
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11283-125 WI
Mental Health Counselor 101YM0800X CC04038 MN Primary

Addresses

Primary practice location

530 E 2ND St
Duluth, MN 55805-1913

Mailing address

530 E 2ND St
Duluth, MN 55805-1913
Phone (218) 786-8364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20241226000307 MN Practitioner - Mental Health Counselor 0446787840 Reassigns benefits to 2 organizations
I20250206000416 WI Practitioner - Mental Health Counselor 0446787840 Reassigns benefits to 3 organizations
I20250306002998 IA Practitioner - Mental Health Counselor 0446787840 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC04038MNMDMental Health Counselor
11283-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic LTD CurrentSince Mar 10, 2025 Accepting new patients
St. Mary's Hospital of Superior Current Accepting new patients
The Duluth Clinic, LTD. CurrentSince Mar 10, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Nov 29, 2024 Accepting new patients
St. Mary's Hospital of Superior CurrentSince Mar 10, 2025 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

530 E 2nd St
Duluth, MN 55805
Phone (218) 786-5300

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

4321 W College Ave
Ste 200
Appleton, WI 54914
Phone (920) 519-2920

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1871319509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E 2ND ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051913",
            "telephone_number": "218-786-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E 2ND ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051913",
            "telephone_number": "218-786-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KAYLA",
        "middle_name": "RAE",
        "credential": "LPCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "11283-125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC04038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.