MR. ANTONIO DEON TAYLOR LPC
NPI 1912273608
Counselor - Professional in Sparta, TN

Q: What is Antonio Taylor's NPI number?

The NPI number for Antonio Taylor is 1912273608. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Q: What is Antonio Taylor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Antonio Taylor was last updated on July 28, 2023. 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.

Active since March 27, 2012PECOS EnrolledAccepts Medicare Assignment

3380 WALNUT GROVE RD, SPARTA, TN 38583(931) 372-7117(931) 372-7119 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2023, Jul 21, 2022, Jul 27, 2017 (3 updates tracked since 2017).

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About Mr. Antonio Deon Taylor Lpc NPPES

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

MR. ANTONIO DEON TAYLOR LPC (NPI 1912273608) is an individual professional provider in Sparta, Tennessee, licensed in Tennessee (4020) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1912273608

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. ANTONIO DEON TAYLORCredential: LPC

Location Address3380 WALNUT GROVE RDSparta, TN 38583-5365

Mailing Address3380 Walnut Grove RdSparta, TN 38583-5365 · (931) 372-7117 · Fax (931) 372-7118

Phone(931) 372-7117

Fax(931) 372-7119

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateMarch 27, 2012

Last NPPES UpdateJuly 28, 20233 updates tracked since enumeration

NPPES CertifiedJuly 14, 2021

✔ NPI 1912273608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TN · 4020

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

3380 WALNUT GROVE RD, Sparta, TN 38583

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.Insurance ›

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. Antonio Deon Taylor Lpc 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 ID9436593266

PECOS Enrollment IDI20240220001527

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 10

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

DIANA DOCKERY

Counselor (Mental Health)