Taylor Gjesdal, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C6418 Issued in OR

Practice address

1300 NW Harrison Blvd
Corvallis, OR 97330-6277

Phone

(541) 203-0485

Fax

(541) 833-6656

NPI assigned

Nov 16, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Transformative Health and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Corvallis, OR
  • NPI 1972246502
  NPD

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1992461701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 NW HARRISON BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306277",
            "telephone_number": "541-203-0485",
            "fax_number": "541-833-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NW HARRISON BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306277",
            "telephone_number": "541-203-0485",
            "fax_number": "541-833-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GJESDAL",
        "first_name": "TAYLOR",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2023-06-19",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C6418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Gilsdorf, SLPA
• Vincent Gimino, MD
• Leila Giovannoni
• Maria Marcela Giron de Marza, MD
• Jared Hamilton Giroux
• Daniel Rogelio Glade
• Ash Gladstone
• Kiersten Anne Glaeser, LPC
• Timothy Glascock, B.S.
• Hunter Scott Glaser

• Professional Counselor in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.