KRISTA ANN TAYLOR (LCPC) – Professional Counselor, NPI 1194096784

KRISTA ANN TAYLOR (LCPC) is a healthcare provider. based in Urbana, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 180007985 (IL). The NPI Number for KRISTA ANN TAYLOR (LCPC) is 1194096784

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
KRISTA ANN TAYLOR (LCPC)
NPI
1194096784
Phone
(217) 383-6941
Address
611 W PARK ST
Enumeration Date
13 January 2012
Last Update Date
5 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2172585900
Graduation Year
2009 (17 years ago)
PAC ID
6901258961
Group Practice PAC ID
3577456037
Professional Enrollment ID
I20240116002302
Address ID
IL619389200MA2512XDRXX306
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:14State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for KRISTA ANN TAYLOR (LCPC)

  • 611 W PARK ST

    URBANA, IL 618012529

    Phone: (217) 383-6941

    Type: Mailing

  • 2512 HURST DR

    MATTOON, IL 619389200

    Phone: (217) 258-7590

    Fax: (217) 258-3686

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240116002302IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577456037View full group profile
NameSpecialtyState
Internal Medicine, HospitalistIL
Nurse PractitionerIL
Internal Medicine, Family PracticeIL
-IL
Hospitalist, Internal MedicineIL
Nurse PractitionerIL
Internal MedicineIL
Internal Medicine, Cardiovascular Disease (Cardiology)IL
Physician AssistantIL
Family Practice, Emergency MedicineIL

Reviews

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Frequently asked questions

Where can patients find KRISTA ANN TAYLOR (LCPC)'s NPI?
You can confirm KRISTA ANN TAYLOR (LCPC) with NPI 1194096784; it appears in the national provider directory.
Is KRISTA ANN TAYLOR (LCPC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KRISTA ANN TAYLOR (LCPC)?
The page reflects Professional Counselor for KRISTA ANN TAYLOR (LCPC). Clinical services aligned with this taxonomy classification.
Where is KRISTA ANN TAYLOR (LCPC)'s primary listing?
We display Urbana, Illinois because that is what the record indicates for KRISTA ANN TAYLOR (LCPC).
What if Urbana, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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