Active NPI
Verrick Y. Taylor, MS, LPC
- Professional Counselor
- Birmingham, AL
National Provider Identifier
1942075270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 05075
- Practice address
- 2100 Southbridge Pkwy Ste 650
Birmingham, AL 35209-1317 - Phone
- (646) 453-6777
- Fax
- (212) 337-9841
- NPI assigned
- Nov 16, 2023
- Last updated
- Nov 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 05075 | AL | Primary |
Addresses
Primary practice location
2100 Southbridge Pkwy Ste 650
Birmingham, AL 35209-1317
Mailing address
1816 Arboretum Cir Apt G
Vestavia Hills, AL 35216-3126
Phone (205) 358-2251
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05075 | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Root Impact Wellness LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
dba Root Impact Wellness
- Mental Health Counselor
- Birmingham, AL
- NPI 1508614124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1942075270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 ARBORETUM CIR APT G",
"city": "VESTAVIA HILLS",
"state": "AL",
"postal_code": "352163126",
"telephone_number": "205-358-2251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 SOUTHBRIDGE PKWY STE 650",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352091317",
"telephone_number": "646-453-6777",
"fax_number": "212-337-9841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "VERRICK",
"middle_name": "Y.",
"name_prefix": "Mr.",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-16",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "05075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.