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

Q: 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.

Q: What is Timothy Taylor's specialty?

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

Q: 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 15 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.

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: August 02, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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