Active NPI
Sydney J Taylor, LPC
- Mental Health Counselor
- Gilbert, AZ
National Provider Identifier
1952769853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-17362
- Practice address
- 926 E Gail Dr
Gilbert, AZ 85296 - Phone
- (480) 639-8884
- Fax
- (804) 248-8498
- NPI assigned
- Feb 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LAC14291 | AZ | |
| Mental Health Counselor | 101YM0800X | LPC-17362 | AZ | Primary |
Addresses
Primary practice location
926 E Gail Dr
Gilbert, AZ 85296
Mailing address
924 N Country Club Dr
Mesa, AZ 85201-4108
Phone (480) 969-3800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC14291 | AZ | MD | Mental Health Counselor |
| LPC-17362 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535068800000",
"number": "1952769853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 N COUNTRY CLUB DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852014108",
"telephone_number": "480-969-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 E GAIL DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85296",
"telephone_number": "480-639-8884",
"fax_number": "804-248-8498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "SYDNEY",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-05",
"last_updated": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LAC14291",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-17362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.