Antonio Deon Taylor, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4020 Issued in TN

Practice address

3380 Walnut Grove Rd
Sparta, TN 38583-5365

Phone

(931) 372-7117

Fax

(931) 372-7119

NPI assigned

Mar 27, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infinite Possibilities CounselingGroup PAC ID 6800248212, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Infinite Possibilities Counseling

  dba Grove: A Healing Collective

  • Professional Counselor
  • Sparta, TN
  • NPI 1548644735
  Medicare reassignment Care Compare group NPD
• Life Reimagined LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sparta, TN
  • NPI 1558141606
  NPD

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1912273608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 WALNUT GROVE RD",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385835365",
            "telephone_number": "931-372-7117",
            "fax_number": "931-372-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 WALNUT GROVE RD",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385835365",
            "telephone_number": "931-372-7117",
            "fax_number": "931-372-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANTONIO",
        "middle_name": "DEON",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2023-07-28",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "4020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Stover, FNP
• Shelby Logan Stringer, PMHNP
• Vickie Billiesue Stringer
• Brittany Swaim
• Breanna Noel Tarpley, COTA
• Cassie Morgan Taylor, COTA/L
• Cherri Dawn Taylor, EMT-P
• Jeanne Kay Thompson, FNP-BC
• Kayla Pellar Thyng
• TLC Family Care PC

• Professional Counselor in Sparta, TN
• Providers in Sparta, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.