NPIMap

Organization Active NPI

Taylor Enhanced Living

  • Professional Counselor
  • Petersburg, VA
National Provider Identifier
1891145876
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701006556 Issued in VA
Legal business name
TAYLOR ENHANCED LIVING
Practice address
105 Holly Hill Dive
Suite a
Petersburg, VA 23805
Phone
(804) 733-8847
Fax
(804) 732-4963
NPI assigned
Jun 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Authorized official

Name
Mrs. Charita Lavonne Threatt, LPC
Title
Clinical Director
Phone
(804) 733-8847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 0701006556 VA Primary

Addresses

Primary practice location

105 Holly Hill Dive
Suite a
Petersburg, VA 23805

Mailing address

105 Holly Hill Dive
Suite a
Petersburg, VA 23805
Phone (804) 733-8847

Other names 1

  • Taylor Starkewood Enterprises Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Taylor Enhanced Living3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1891145876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HOLLY HILL DIVE",
            "address_2": "SUITE A",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23805",
            "telephone_number": "804-733-8847",
            "fax_number": "804-732-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HOLLY HILL DIVE",
            "address_2": "SUITE A",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23805",
            "telephone_number": "804-733-8847",
            "fax_number": "804-732-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR ENHANCED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "THREATT",
        "authorized_official_first_name": "CHARITA",
        "authorized_official_middle_name": "LAVONNE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "804-733-8847",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Starkewood Enterprises",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.