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MS. TAYLOR KRISTINE VACCA MA, BS
NPI 1164007282
Counselor - Professional in Blaine, MN

Active since March 10, 2021
10729 TOWN SQUARE DR NE STE 120, BLAINE, MN 55449(763) 343-9010(763) 343-9011 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2022, Mar 10, 2021 (2 updates tracked since 2021).

About Ms. Taylor Kristine Vacca Ma, Bs NPPES

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

MS. TAYLOR KRISTINE VACCA MA, BS (NPI 1164007282) is an individual professional provider in Blaine, Minnesota and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1164007282
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. TAYLOR KRISTINE VACCACredential: MA, BS
Location Address10729 TOWN SQUARE DR NE STE 120Blaine, MN 55449-7923
Mailing Address10729 Town Square Dr Ne Ste 120Blaine, MN 55449-7923 · (763) 343-9010 · Fax (763) 343-9011
Phone(763) 343-9010
Fax(763) 343-9011
Sole ProprietorNo
Enumeration DateMarch 10, 2021
Last NPPES UpdateSeptember 9, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2022
✔ NPI 1164007282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10729 TOWN SQUARE DR NE STE 120, Blaine, MN 55449
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Other Providers at the Same Location NPPES 7

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

MARY KELLER
Counselor (Addiction (Substance Use Disorder))
10729 TOWN SQUARE DR NE STE 120
BLAINE, MN 55449
Anoka County (763) 343-9010
DR. AMY MORAN WHEELECOR PSYD, LP
Psychologist
10729 TOWN SQUARE DR NE STE 120
BLAINE, MN 55449
Anoka County (763) 343-9010
TANAGER YVONNE POLOWCHAK MA, LPCC
Counselor (Professional)
10729 TOWN SQUARE DR NE STE 120
BLAINE, MN 55449
Anoka County (763) 343-9010
CAMBRIA LYNE FISHER
Counselor (Professional)
10729 TOWN SQUARE DR NE STE 120
BLAINE, MN 55449
Anoka County (763) 343-9010
LINDSAY JAN SCHWAB-PETERSON NP
Nurse Practitioner (Psychiatric/Mental Health)
10729 TOWN SQUARE DR NE STE 120
BLAINE, MN 55449
Anoka County (763) 343-9010
CINDY LYNN ROLLAND LADC
Counselor (Addiction (Substance Use Disorder))
10729 TOWN SQUARE DR NE STE 120
BLAINE, MN 55449
Anoka County (763) 343-9010
ROBERT B STEIN
Social Worker (Clinical)
10729 TOWN SQUARE DR NE STE 120
BLAINE, MN 55449
Anoka County (763) 343-9010

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 Vacca's NPI number?

The NPI number for Taylor Vacca is 1164007282. It was assigned to this individual provider in the NPPES registry on March 10, 2021.

Where is Taylor Vacca located?

Taylor Vacca practices at 10729 Town Square Dr NE Ste 120, Blaine, MN 55449. The listed phone number is (763) 343-9010.

What is Taylor Vacca's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Taylor Vacca was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.