TAMRA MARIE TAYLOR (LCPC) – Mental Health Counselor, NPI 1477127520

Mental Health Counselor

TAMRA MARIE TAYLOR (LCPC) is a healthcare provider. based in Carlinville, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 180.013600 (IL). The NPI Number for TAMRA MARIE TAYLOR (LCPC) is 1477127520

Main info

Female

12 Years Of Experience

Accepts Medicare Assignment

Name

TAMRA MARIE TAYLOR (LCPC)

NPI

1477127520

Phone

(217) 854-3166

Address

320 S LOCUST ST

Enumeration Date

13 May 2021

Last Update Date

18 March 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2178543166

Graduation Year

2014 (12 years ago)

PAC ID

5799222915

Group Practice PAC ID

6002846599

Professional Enrollment ID

I20240806002963

Address ID

IL626261648CA320XXSTXX400

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience34

Completeness75

Years active:5State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for TAMRA MARIE TAYLOR (LCPC)

320 S LOCUST ST
CARLINVILLE, IL 626261648
Phone: (217) 854-3166
Fax: (217) 854-3778
Type: Location
60 E Central Park Plz
Jacksonville, IL 626502071
Phone: (217) 854-3166
Fax: (217) 854-3778
Type: Location
118 W CHESTNUT ST
GILLESPIE, IL 620331503
Phone: (217) 839-7200
Type: Mailing

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: 2024-08-06

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20240806002963	I	Mental Health Counselor	IL	TBD

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 62626)

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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: 6002846599View full group profile

Name	Specialty	State
MS. NICOLE ANNE LIST (LCPC)	Mental Health Counselor	IL
DR. CARMEN A ORELLANA MARTINEZ (M.D.)	-	IL
DR. JUAN M MEDINA (MD)	P S Y C H I A T R Y	IL
MRS. LISA HAUTER (LCSW CSADF)	-	IL
PATRICE M FRASER (LCSW)	Clinical Social Worker	IL
ERICA D SHAW (APN)	Nurse Practitioner	IL
ALEXANDER CHIPMAN (LPC)	Mental Health Counselor	IL