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TAYLOR PEDERSON
NPI 1033700430
Counselor - Mental Health in Hartsville, SC

Active since January 28, 2021PECOS Enrolled
900 S 4TH ST, HARTSVILLE, SC 29550(843) 332-4141 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 6, 2022, Jan 28, 2021 (2 updates tracked since 2021).

About Taylor Pederson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYLOR PEDERSON (NPI 1033700430) is an individual mental health provider in Hartsville, South Carolina and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033700430
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTAYLOR PEDERSON
Location Address900 S 4TH STHartsville, SC 29550-5787
Mailing Address125 E Cheves StFlorence, SC 29506-2526 · (843) 317-4073 · Fax (843) 317-4096
Phone(843) 332-4141
Sole ProprietorNo
Enumeration DateJanuary 28, 2021
Last NPPES UpdateJuly 6, 20222 updates tracked since enumeration
NPPES CertifiedJuly 6, 2022
✔ NPI 1033700430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
900 S 4TH ST, Hartsville, SC 29550
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor Pederson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Taylor Pederson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Carolina Dept Of Mental Health Accounting Office
21 mi
Mental Health (Including Community Mental Health Center)
125 E CHEVES ST
Florence, SC 29506
  • Reassigned Medicare billing, South Carolina enrollment
  • 236 clinicians in this Medicare group
NPI 1205925567 (843) 317-4089

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEE DEE MENTAL HEALTH
Community/Behavioral Health
900 S 4TH ST
HARTSVILLE, SC 29550
Darlington County (843) 332-4141
BRIANA GALEOTA
Student in an Organized Health Care Education/Training Program
900 S 4TH ST
HARTSVILLE, SC 29550
Darlington County (843) 332-4141
SAM MERRITTS
Social Worker (Clinical)
900 S 4TH ST
HARTSVILLE, SC 29550
Darlington County (843) 332-4141
KENYA GRAHAM
Counselor
900 S 4TH ST
HARTSVILLE, SC 29550
Darlington County (843) 332-4141
GLENDA LIDE
Counselor (Mental Health)
900 S 4TH ST
HARTSVILLE, SC 29550
Darlington County (843) 332-4141
SHAREESE BRADY
Case Manager/Care Coordinator
900 S 4TH ST
HARTSVILLE, SC 29550
Darlington County (843) 639-8046
SYNETHIA MCRAE
Counselor (Mental Health)
900 S 4TH ST
HARTSVILLE, SC 29550
Darlington County (843) 332-4141
VICTORIA HOOKS
Counselor (Mental Health)
900 S 4TH ST
HARTSVILLE, SC 29550
Darlington County (843) 332-4141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Pederson's NPI number?

The NPI number for Taylor Pederson is 1033700430. It was assigned to this individual provider in the NPPES registry on January 28, 2021.

Where is Taylor Pederson located?

Taylor Pederson practices at 900 S 4th St, Hartsville, SC 29550. The listed phone number is (843) 332-4141.

What is Taylor Pederson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Taylor Pederson enrolled in Medicare?

Yes. Taylor Pederson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Taylor Pederson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Pederson reassigns Medicare benefits to South Carolina Dept Of Mental Health Accounting Office (Florence, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Taylor Pederson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Taylor Pederson accept?

Health plans from UnitedHealthcare list Taylor Pederson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Taylor Pederson was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.