IndividualActive
Kerry Taylor
NPI 1780189985 · Counselor · Phoenix, AZ
Provider details
- NPI number
- 1780189985
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- LAC16308 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
650 E Indian School Rd
Phoenix, AZ 85012-1839
Phone: (478) 321-7070
Street-level locationGet directions
Mailing address
17924 W Las Palmaritas Dr
Waddell, AZ 85355-7812
Registry dates
- Enumerated
- 2018-03-28
- Last updated
- 2018-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.