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TAE'LOR ANN WINDHAM
NPI 1790284396
Counselor in Mentor, OH

Active since February 08, 2018PECOS Enrolled
7232 JUSTIN WAY, MENTOR, OH 44060(440) 578-8200 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 3, 2022, Apr 23, 2020 (2 updates tracked since 2020).

About Tae'lor Ann Windham NPPES

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

TAE'LOR ANN WINDHAM (NPI 1790284396) is an individual counselor in Mentor, Ohio, licensed in Ohio (C.2204531) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Shaker Heights.

NPPES Registry Identity

NPI1790284396
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTAE'LOR ANN WINDHAM
Location Address7232 JUSTIN WAYMentor, OH 44060-4881
Mailing Address7232 Justin WayMentor, OH 44060-4881 · (440) 578-8200
Phone(440) 578-8200
Sole ProprietorNo
Enumeration DateFebruary 8, 2018
Last NPPES UpdateOctober 3, 20222 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
✔ NPI 1790284396 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 OH · C.2204531
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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
7232 JUSTIN WAY, Mentor, OH 44060
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Secondary Practice Location 1

Location 122001 Fairmount BlvdShaker Heights, OH 44118-4819 · Phone (216) 320-6439

Other Identifiers 1

Medicaid0283415OH

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tae'lor Ann Windham 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 Tae'lor Windham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signature Health, Inc
2.6 mi
Mental Health (Including Community Mental Health Center)
38876 MENTOR AVE
Willoughby, OH 44094
  • Reassigned Medicare billing, Ohio enrollment
  • 342 clinicians in this Medicare group
NPI 1477575348 (440) 953-9999

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.

DR. TIFFANY JONES M.D.
Psychiatry & Neurology (Psychiatry)
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
ASHLEY NICHOLE FOCHT
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
MRS. FATIMAAH D FULLILOVE LSW, LICDC
Social Worker (Clinical)
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
THERESA GILL LPCC
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
JAMIE GAMBRELL
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
CLOTILDA J RAYMOND
Social Worker
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
BRENDA BERRY SAMPLE
Case Manager/Care Coordinator
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200
KIMBERLEE BIZUP LPCC-S
Counselor
7232 JUSTIN WAY
MENTOR, OH 44060
Lake County (440) 578-8200

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 Tae'lor Windham's NPI number?

The NPI number for Tae'lor Windham is 1790284396. It was assigned to this individual provider in the NPPES registry on February 8, 2018.

Where is Tae'lor Windham located?

Tae'lor Windham practices at 7232 Justin Way, Mentor, OH 44060. The listed phone number is (440) 578-8200.

What is Tae'lor Windham's specialty?

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

Is Tae'lor Windham enrolled in Medicare?

Yes. Tae'lor Windham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tae'lor Windham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tae'lor Windham reassigns Medicare benefits to Signature Health, Inc (Willoughby, OH). 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 Tae'lor Windham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tae'lor Windham accept?

Health plans from CareSource list Tae'lor Windham 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 Tae'lor Windham was last updated on October 3, 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.