Individual provider Active NPI

Eugene Taylor

  • Professional Counselor
  • Saint Peter, MN
National Provider Identifier
1962924167
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC00623 Issued in MN
Practice address
1715 Sheppard Dr
Saint Peter, MN 56082-2539
Phone
(507) 934-7783
NPI assigned
Jul 10, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC00623 MN Primary

Addresses

Primary practice location

1715 Sheppard Dr
Saint Peter, MN 56082-2539

Mailing address

PO Box 60
Saint Peter, MN 56082-0060
Phone (507) 934-7783

Other practice location 1

108 S Minnesota Ave Ste 102
Saint Peter, MN 56082-2557
Phone (507) 934-7783

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
CC00623MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Leo a. Hoffmann Center, Inc. CurrentSince Apr 28, 2024 Accepting new patients
Leo a. Hoffmann Center, Inc. PastSince Jul 24, 2022 Accepting new patients

Locations

108 S Minnesota Ave
Ste 102
Saint Peter, MN 56082
Phone (507) 484-2400

1715 Sheppard Dr
Saint Peter, MN 56082
Phone (507) 484-2400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962924167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560820060",
            "telephone_number": "507-934-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 SHEPPARD DR",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560822539",
            "telephone_number": "507-934-7783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 S Minnesota Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Saint Peter",
            "state": "MN",
            "postal_code": "560822557",
            "country_code": "US",
            "telephone_number": "507-934-7783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "EUGENE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.