Gordon Allan Taylor, L.M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

903 Issued in OK

Practice address

16017 Traditions Blvd
Edmond, OK 73013-1129

Phone

(405) 761-1992

NPI assigned

Mar 28, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christian Clinic for Counseling of Edmond'S First Baptist Church, IncGroup PAC ID 3678802220, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Christian Clinic for Counseling of Edmond'S First Baptist Church, Inc.

  • Counselor
  • Edmond, OK
  • NPI 1114497153
  Medicare reassignment Care Compare group NPD
• Christian Counseling Associates Ministries of Edmond

  • Clinical Social Worker
  • Edmond, OK
  • NPI 1447434162

  Marriage & Family Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1952573008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16017 TRADITIONS BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131129",
            "telephone_number": "405-761-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16017 TRADITIONS BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131129",
            "telephone_number": "405-761-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GORDON",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Holloman Therapy & Wellness Services PLLC Dba Trellis Therapy
• Ann Renee Taylor
• Anthony Dewayne Taylor
• Bradley Clifford Taylor, D.O.
• Emily A Taylor, D.C.
• Jaime Sue Taylor, MA LPC
• Jeanelle L Taylor, M.S. CCC-SLP
• Jenna Lyn Taylor
• Katy Taylor
• Kaydence B Taylor

• Marriage & Family Therapist in Edmond, OK
• Providers in Edmond, OK by specialty
• Marriage & Family Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.