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MR. TIMOTHY NEAL TAYLOR MS ED., LCPC
NPI 1205059532
Counselor in Champaign, IL

Active since April 11, 2007PECOS EnrolledAccepts Medicare Assignment
1802 S MATTIS AVE, CHAMPAIGN, IL 61821(217) 383-1850(217) 383-3439 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Timothy Neal Taylor Ms Ed., Lcpc NPPES

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

MR. TIMOTHY NEAL TAYLOR MS ED., LCPC (NPI 1205059532) is an individual counselor in Champaign, Illinois, licensed in Illinois (180005526) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Champaign, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1205059532
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. TIMOTHY NEAL TAYLORCredential: MS ED., LCPC
Location Address1802 S MATTIS AVEChampaign, IL 61821-5923
Mailing Address611 W Park, FapcChampaign, IL 61801 · (217) 902-6954 · Fax (217) 902-7711
Phone(217) 383-1850
Fax(217) 383-3439
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateApril 11, 2007
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1205059532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IL · 180005526
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 180-005526 (IL)
1802 S MATTIS AVE, Champaign, IL 61821
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Secondary Practice Location 1

Location 11315A Curt DrChampaign, IL 61821-1119 · Phone (217) 352-5179 ext. 237 · Fax (217) 352-7817

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Timothy Neal Taylor Ms Ed., Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416392667
PECOS Enrollment IDI20240228001149
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 Timothy Taylor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carle Health Medical Group
3.5 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300

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 20

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

RACHAEL D RUBIN PHD
Psychologist
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 255-9580
CARLE CLINIC ASSOCIATION, PC
Durable Medical Equipment & Medical Supplies
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 326-1220
DR. GABRIEL SOTOMAYOR M.D.
Physical Medicine & Rehabilitation
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 902-6954
KRISTINE S ANDERSON PA
Physician Assistant (Surgical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 383-3260
BRADY W IBA DO
Psychiatry & Neurology (Psychiatry)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 365-2855
DR. JOHN P BAKER PHD
Psychologist
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 365-2855
SELAHATTIN GOKTURK M.A
Social Worker (Clinical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 383-1850
AMANDA GAUGLER
Social Worker (Clinical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 365-2855

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 Timothy Taylor's NPI number?

The NPI number for Timothy Taylor is 1205059532. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Timothy Taylor located?

Timothy Taylor practices at 1802 S Mattis Ave, Champaign, IL 61821. The listed phone number is (217) 383-1850.

What is Timothy Taylor's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Timothy Taylor enrolled in Medicare?

Yes. Timothy Taylor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Timothy Taylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Taylor reassigns Medicare benefits to Carle Health Medical Group (Urbana, IL). 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 Timothy Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Timothy Taylor was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.