Individual provider Active NPI

Kathleen A. Taylor, LPCP

  • School Social Worker
  • Idaho Falls, ID
National Provider Identifier
1962571349
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
LSW-558 Issued in ID
Practice address
496 A St
Idaho Falls, ID 83402-3617
Phone
(208) 552-7100
Fax
(208) 552-7101
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCPC-199 ID
School Social Worker 1041S0200X LSW-558 ID Primary

Addresses

Primary practice location

496 A St
Idaho Falls, ID 83402-3617

Mailing address

496 A St
Idaho Falls, ID 83402-3617
Phone (208) 552-7100

Other names 1

  • Kathy Taylor Other name

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

LicenseStateTypeSpecialty
LCPC-199IDMDMental Health Counselor
LSW-558IDMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center of Southeast Idaho Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1962571349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 A ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023617",
            "telephone_number": "208-552-7100",
            "fax_number": "208-552-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 A ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023617",
            "telephone_number": "208-552-7100",
            "fax_number": "208-552-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KATHLEEN",
        "middle_name": "A.",
        "credential": "LPCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-199",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "ID",
            "license": "LSW-558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "TAYLOR",
            "credential": "LPCP, LSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.