Individual provider Active NPI

Gabriel Taylor, LPC

  • Mental Health Counselor
  • Biloxi, MS
National Provider Identifier
1912768128
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3051 Issued in MS
Practice address
2620 Executive PL
Biloxi, MS 39531-3717
Phone
(228) 385-7744
NPI assigned
Jan 16, 2024
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3051 MS Primary

Addresses

Primary practice location

2620 Executive PL
Biloxi, MS 39531-3717

Mailing address

13376 Lehmann CT
Gulfport, MS 39503-4552
Phone (228) 861-2824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20250220004052 MS Practitioner - Mental Health Counselor 1052831096 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rise Psychotherapy and Family Support Services, PLLCGroup PAC ID 7416495965, 2 clinicians

Practice addresses (Care Compare)

213 1St St S
Wiggins, MS 39577-2735
Phone (601) 385-0928

770 Water St
Suite 305
Biloxi, MS 39530-4220
Phone (228) 679-9738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3051MSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Psychotherapy and Family Support Services, PLLC CurrentSince Feb 19, 2025 Accepting new patients
Olive & Oak Therapy LLC Mental Health CurrentSince Jan 1, 2026 Accepting new patients
Psycamore, LLC PastSince Jan 21, 2024 Accepting new patients
Time for a Change Counseling, LLC Past Accepting new patients

Locations

770 Water St
Ste 305
Biloxi, MS 39530
Phone (228) 679-9738

8990 Lorraine Rd
Gulfport, MS 39503
Phone (228) 331-3310

213 First St S
Wiggins, MS 39577
Phone (228) 331-3310

Organizations & group practices 4

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": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1912768128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13376 LEHMANN CT",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034552",
            "telephone_number": "228-861-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 EXECUTIVE PL",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395313717",
            "telephone_number": "228-385-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GABRIEL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "3051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.