MEDICARE: TAYLOR HERNANDEZ MA, LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LPCC.0023346	CO

General Provider Information

NPI Number	:	1740139898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR HERNANDEZ MA, LPCC

Provider Business Mailing Address
First Line	:	1704 PECAN ST APT 1
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-5788
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1704 PECAN ST APT 1
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-5788
Country	:	US
Telephone Number	:	970-239-1226
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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