MICHAEL TAYLOR (NPI# 1811419435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811419435 |
| Entity Type | Individual |
| Full Name | MICHAEL TAYLOR |
| Credential | LPHA, LCPC, CRC |
| Practice Address |
904 E. Martin Luther King Drive Centralia IL 62801 |
| Practice Telephone | (618) 533-1391 |
| Practice Fax Number | 6185330012 |
| Mailing Telephone | 6185331391 |
| Mailing Fax Number | 6185330012 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180003710 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 370915481007 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807146 | Michael Lee Taylor | Occupational Therapist | 100 W Gore St Ste 104, Orlando, FL 32806-1041 | 2020-09-30 |
| 1619587599 | Michael Damonta Taylor | Non-emergency Medical Transport (VAN) | 154 Pine Hill Ct, Brodnax, VA 23920-3331 | 2020-08-05 |
| 1154946804 | Michael Lee Taylor | Student in an Organized Health Care Education/Training Program | 1411 Ridgewood Dr, Martinez, CA 94553-4221 | 2020-06-09 |
| 1184129223 | Michael Taylor | Student in an Organized Health Care Education/Training Program | 122 67th St Apt 1, Brooklyn, NY 11220-4822 | 2018-03-29 |
| 1598213431 | Michael Ray Taylor Jr. | Specialist/Technologist | 20 Lost Mountain Rd, Center Ridge, AR 72027-8317 | 2016-09-21 |
| 1891159638 | Michael Taylor | Non-emergency Medical Transport (VAN) | 4602 Jefferson Dr, Richton Park, IL 60471-1850 | 2016-04-07 |
| 1629465752 | Michael Taylor | Surgery | 72 E Concord St Bldg C515, Boston, MA 02118-2642 | 2015-04-15 |
| 1356749253 | Michael Craig Taylor | Physician Assistant | 715 North Brown Street, Alma, NE 68920-0665 | 2014-12-09 |
| 1861760308 | Michael Andrew Taylor | Speech-Language Pathologist | 836 Verde Dr, Riverdale, GA 30274-1646 | 2011-12-13 |
| 1720383896 | Michael Allen Taylor | Pharmacist | 4915 S Regal St, Spokane, WA 99223-7633 | 2011-01-20 |
| Street Address |
904 E. MARTIN LUTHER KING DRIVE |
| City | CENTRALIA |
| State | IL |
| Zip Code | 62801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780762815 | Melissa Aberg West | Psychiatry & Neurology | 904 E. Martin Luther King Drive, Centralia, IL 62801 | 2006-11-02 |
| 1316509615 | Alayna Moore | Counselor | 904 E. Martin Luther King Drive, Centralia, IL 62801-3058 | 2019-07-08 |
| 1598239998 | Dawn Martinez-uribe | Counselor | 904 E. Martin Luther King Drive, Centralia, IL 62801-3058 | 2019-01-18 |
| 1720560808 | Paula Armstrong | Counselor | 904 E. Martin Luther King Drive, Centralia, IL 62801 | 2018-09-05 |
| 1417437211 | Kurtiss Hassebrock | Counselor | 904 E. Martin Luther King Drive, Centralia, IL 62801-3058 | 2018-08-21 |
| 1144700980 | Linda Hanna | Counselor | 904 E. Martin Luther King Drive, Centralia, IL 62801-3058 | 2018-08-21 |
| 1457831299 | Nadia Riazati | Counselor | 904 E. Martin Luther King Drive, Centralia, IL 62801-3058 | 2018-08-21 |
| 1316431331 | Adam Borges | Counselor | 904 E. Martin Luther King Drive, Centralia, IL 62801-3058 | 2018-06-22 |
| 1720571342 | Brittany Brown | Counselor | 904 E. Martin Luther King Drive, Centralia, IL 62801-3058 | 2018-06-08 |
| 1326540121 | Wendy Suey | Counselor | 904 E. Martin Luther King Drive, Centralia, IL 62801-3058 | 2018-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996151 | Matthew Crawford | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2019-08-08 |
| 1588130314 | Kennah White | Counselor | 904 E. Mlk Drive, Centralia, IL 62801 | 2018-10-19 |
| 1245721588 | Lindsey Nicole Fogliasso | Counselor | 904 East Mlk Dr., Centralia, IL 62801 | 2018-05-22 |
| 1629573365 | Prabhat Shrestha | Student in an Organized Health Care Education/Training Program | 605 Sable Drive, Centralia, IL 62801 | 2018-03-26 |
| 1619496098 | Whitney Rathmann | Speech-Language Pathologist | 224 South Locust, Centralia, IL 62801 | 2017-09-17 |
| 1376082685 | Athena A Smith | Counselor | 904 E. Martin Luther King Dr, Centralia, IL 62801 | 2017-02-20 |
| 1447704069 | Meghan Branch | Counselor | 904 Martin Luther King Dr, Centralia, IL 62801 | 2016-08-11 |
| 1568820637 | Midland Area Agency On Aging | Case Management | 434 S Poplar Street, Centralia, IL 62801 | 2016-02-04 |
| 1104201714 | Keri Douglas | Nurse Practitioner | 1054 M. L. King Drive #125, Centrailia, IL 62801 | 2015-07-24 |
| 1215331509 | Melissa Dane | Counselor | 904 E Martin Luther King Dr., Centralia, IL 62801 | 2014-10-15 |
| Find all providers in zip 62801 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902146442 | Sarah Elizabeth Hall | Counselor | 318 W Barnes St, Centralia, MO 65240 | 2013-02-20 |
| 1609020957 | Emily M Riddle | Counselor | 119 N Barr St, Centralia, MO 65240-1417 | 2008-11-13 |
| 1639219025 | Tim Dale Monken | Counselor | 417 E Calumet St, Centralia, IL 62801-4562 | 2007-02-07 |
| 1144309071 | Trisa Rea Redington | Counselor | 283 Audrain County Rd. 233, Centralia, MO 65240-5217 | 2006-11-02 |
| 1245326578 | Linda S Stover | Counselor | 417 E Calumet, Centralia, IL 62801 | 2006-10-05 |
| 1356449284 | David Rugowski | Counselor | 444 N Pleasant Ave, Centralia, IL 62801-3006 | 2006-09-21 |
| 1134308414 | Thomas P Sims | Counselor | 101 S Locust St, Centralia, IL 62801-3506 | 2007-11-02 |
| 1235259342 | Lori Michelle Eisenhauer | Counselor | 206 E 3rd St, Centralia, IL 62801-3902 | 2007-03-30 |
| 1285733386 | Sharon Reed | Counselor | 444 N Pleasant Ave, Centralia, IL 62801-3006 | 2006-09-22 |
| 1932208030 | Keith Johnson | Counselor | 444 N Pleasant Ave, Centralia, IL 62801-3006 | 2006-09-22 |
| Find all providers in CENTRALIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.