Wendy Taillon, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMHC00107 Issued in RI

Practice address

575 Fountain St
Pawtucket, RI 02860-1246

Phone

(401) 724-0535

Fax

(401) 722-4006

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gateway Healthcare Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pawtucket, RI
  • NPI 1821078932
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982796272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 FOUNTAIN ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028601246",
            "telephone_number": "401-724-0535",
            "fax_number": "401-722-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 FOUNTAIN ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028601246",
            "telephone_number": "401-724-0535",
            "fax_number": "401-722-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAILLON",
        "first_name": "WENDY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "LMHC00107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "30502",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daria L Szkwarko, D.O.
• Michal Marcin Szpara, DPM
• Rosalea Kai-Jen Taam-Akelman, M.D.
• Pedro Franco Tactacan, MD
• Annabell Tagoe, MSN, APRN, AGNP-C
• Scott Tainsh
• Tanya J. Becker MD, Inc.
• Jill Taormina, R.N.
• Tass Overflow Holistic Care LLC
• Patricia Ann Tatro, COTA

• Mental Health Counselor in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.