MR. TIMOTHY NEAL TAYLOR (MS ED., LCPC) – Counselor, NPI 1205059532

MR. TIMOTHY NEAL TAYLOR (MS ED., LCPC) is a healthcare provider. based in Champaign, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS ED., LCPC. They hold a License No. 180-005526 (IL). The NPI Number for MR. TIMOTHY NEAL TAYLOR (MS ED., LCPC) is 1205059532

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. TIMOTHY NEAL TAYLOR (MS ED., LCPC)
NPI
1205059532
Phone
(217) 352-5179
Address
1315A Curt Dr
Enumeration Date
11 April 2007
Last Update Date
23 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2173261330
Graduation Year
1998 (28 years ago)
PAC ID
7416392667
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20240228001149
Address ID
IL618215923CH1802XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,308 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for MR. TIMOTHY NEAL TAYLOR (MS ED., LCPC)

  • 1315A Curt Dr

    Champaign, IL 618211119

    Phone: (217) 352-5179

    Fax: (217) 352-7817

    Type: Location

  • 611 W PARK

    FAPC

    CHAMPAIGN, IL 61801

    Phone: (217) 902-6954

    Fax: (217) 902-7711

    Type: Mailing

  • 1315A CURT DR

    CHAMPAIGN, IL 618211119

    Phone: (217) 352-5179

    Fax: (217) 352-7817

    Type: Mailing

  • 1802 S MATTIS AVE

    CHAMPAIGN, IL 618215923

    Phone: (217) 383-1850

    Fax: (217) 383-3439

    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: 2024-02-28

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
I20240228001149IMental 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 61821)

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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: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
Nurse PractitionerIL
-FL
Nurse PractitionerIL
P O D I A T R YIL
Hospitalist, Family PracticeTX
-IL
-IL

Reviews

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Frequently asked questions

What number should I use to identify MR. TIMOTHY NEAL TAYLOR (MS ED., LCPC) for billing?
Administrative and clinical systems typically use NPI 1205059532 for MR. TIMOTHY NEAL TAYLOR (MS ED., LCPC).
Is MR. TIMOTHY NEAL TAYLOR (MS ED., LCPC)'s NPI status active today?
Active status means MR. TIMOTHY NEAL TAYLOR (MS ED., LCPC)'s NPI record is not deactivated in the public file.
What does the directory say MR. TIMOTHY NEAL TAYLOR (MS ED., LCPC) does?
Insurance directories may phrase it differently, but here MR. TIMOTHY NEAL TAYLOR (MS ED., LCPC) maps to Counselor. Clinical services aligned with this taxonomy classification.
Is MR. TIMOTHY NEAL TAYLOR (MS ED., LCPC) tied to Champaign, Illinois?
If you are local to Champaign, Illinois, MR. TIMOTHY NEAL TAYLOR (MS ED., LCPC) may be relevant to your search.
Why is information missing for MR. TIMOTHY NEAL TAYLOR (MS ED., LCPC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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