BRIAN TAYLOR (MED) – Counselor, NPI 1619606357

BRIAN TAYLOR (MED) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MED. They hold a License No. PC019496 (PA). The NPI Number for BRIAN TAYLOR (MED) is 1619606357

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN TAYLOR (MED)
NPI
1619606357
Phone
(203) 927-0650
Address
4441 SANSOM ST
Enumeration Date
8 June 2022
Last Update Date
10 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2156080040
Graduation Year
2021 (5 years ago)
PAC ID
9739670928
Group Practice PAC ID
2961853353
Professional Enrollment ID
I20251116000051
Address ID
PA191036209PH255XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:4State licenses:1Digital endpointsOther names

2,581 MENTAL HEALTH COUNSELOR in PA

Provider Addresses for BRIAN TAYLOR (MED)

  • 4441 SANSOM ST

    PHILADELPHIA, PA 191042915

    Phone: (203) 927-0650

    Type: Mailing

  • 255 S 17TH ST FL 9

    PHILADELPHIA, PA 191036209

    Phone: (203) 927-0650

    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: 2025-11-16

PECOS data refreshed: 2026-06-15

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
I20251116000051IMental Health CounselorPATBD

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 19104)

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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: 2961853353View full group profile
NameSpecialtyState
Mental Health CounselorPA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

What NPI should I save for BRIAN TAYLOR (MED)?
Save NPI 1619606357 if you need a stable reference for BRIAN TAYLOR (MED).
Is BRIAN TAYLOR (MED) currently active in the NPI registry?
CMS-published data lists BRIAN TAYLOR (MED) as an active registrant.
What does BRIAN TAYLOR (MED) treat or focus on?
Patients typically see BRIAN TAYLOR (MED) under the specialty Counselor. Clinical services aligned with this taxonomy classification.
What location shows for BRIAN TAYLOR (MED)?
We surface Philadelphia, Pennsylvania for BRIAN TAYLOR (MED) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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