Active NPI
Kathleen A. Taylor, LPCP
- School Social Worker
- Idaho Falls, ID
National Provider Identifier
1962571349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- LSW-558
- 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
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 | 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
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 |
|---|---|---|---|
| LCPC-199 | ID | MD | Mental Health Counselor |
| LSW-558 | ID | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Public Health or Welfare Agency
- Idaho Falls, ID
- NPI 1639116627
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.