KARMEN RENEE EAREGOOD TAYLOR
NPI 1407562473
Counselor - Mental Health in Grandville, MI

Active since January 24, 2023PECOS Enrolled
4565 WILSON AVE SW STE 1A, GRANDVILLE, MI 49418(616) 591-9000 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 26, 2025, Jan 24, 2023 (2 updates tracked since 2023).

About Karmen Renee Earegood Taylor NPPES

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

KARMEN RENEE EAREGOOD TAYLOR (NPI 1407562473) is an individual mental health provider in Grandville, Michigan, licensed in Michigan (6401225027) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407562473
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKARMEN RENEE EAREGOOD TAYLOR
Location Address4565 WILSON AVE SW STE 1AGrandville, MI 49418-2371
Mailing Address4565 Wilson Ave Sw Ste 1aGrandville, MI 49418-2371 · (616) 591-9000
Sole ProprietorNo
Enumeration DateJanuary 24, 2023
Last NPPES UpdateJune 26, 20252 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1407562473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6401225027
4565 WILSON AVE SW STE 1A, Grandville, MI 49418

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karmen Renee Earegood Taylor 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 Reassignments

2

Medicare enrollment records show Karmen Taylor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional
4565 WILSON AVE SW STE 1A
Grandville, MI 49418
  • Reassigned Medicare billing, Michigan enrollment
  • 10 clinicians in this Medicare group
Counselor
3424 CHICAGO DR STE 205
Hudsonville, MI 49426
  • Reassigned Medicare billing, Michigan enrollment
  • 36 clinicians in this Medicare group

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 7

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

Counselor (Professional)
4565 WILSON AVE SW STE 1A
GRANDVILLE, MI 49418
Social Worker (Clinical)
4565 WILSON AVE SW STE 1A
GRANDVILLE, MI 49418
Social Worker (Clinical)
4565 WILSON AVE SW STE 1A
GRANDVILLE, MI 49418
Social Worker (Clinical)
4565 WILSON AVE SW STE 1A
GRANDVILLE, MI 49418
Counselor (Professional)
4565 WILSON AVE SW STE 1A
GRANDVILLE, MI 49418
Social Worker (Clinical)
4565 WILSON AVE SW STE 1A
GRANDVILLE, MI 49418
Counselor (Mental Health)
4565 WILSON AVE SW STE 1A
GRANDVILLE, MI 49418

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 Karmen Taylor's NPI number?

The NPI number for Karmen Taylor is 1407562473. It was assigned to this individual provider in the NPPES registry on January 24, 2023.

Where is Karmen Taylor located?

Karmen Taylor practices at 4565 Wilson Ave SW Ste 1A, Grandville, MI 49418. The listed phone number is (616) 591-9000.

What is Karmen Taylor's specialty?

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

Is Karmen Taylor enrolled in Medicare?

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

Which organizations bill Medicare for Karmen Taylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karmen Taylor reassigns Medicare benefits to 2 organizations: Synergy Behavioral Health (Grandville, MI) and Second Story Counseling II LLC (Hudsonville, MI). Each 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 Karmen Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karmen Taylor accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Karmen Taylor 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 Karmen Taylor was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.