Individual provider Active NPI

Taylor Anderson

  • Case Manager/Care Coordinator
  • Old Washington, OH
National Provider Identifier
1881370104
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
239A Old National Rd
Old Washington, OH 43768-5000
Phone
(740) 489-5571
Fax
(740) 489-5004
NPI assigned
Jun 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

239A Old National Rd
Old Washington, OH 43768-5000

Mailing address

PO Box 94
Old Washington, OH 43768-0094
Phone (740) 489-5571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Ohio Counseling Center, LLC. CurrentSince Jun 25, 2023 Accepting new patients
Southeastern Ohio Counseling Center, LLC. CurrentSince Jun 25, 2023 Accepting new patients

Locations

239A Old National Rd
Old Washington, OH 43768
Phone (740) 489-5571

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/southeasternohiocounseling/r4/

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1881370104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94",
            "city": "OLD WASHINGTON",
            "state": "OH",
            "postal_code": "437680094",
            "telephone_number": "740-489-5571",
            "fax_number": "740-489-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239A OLD NATIONAL RD",
            "city": "OLD WASHINGTON",
            "state": "OH",
            "postal_code": "437685000",
            "telephone_number": "740-489-5571",
            "fax_number": "740-489-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TAYLOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Washington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.