Tayrra McCormick
Counselor, Mental Health in Prestonsburg, KY. Individual provider (NPI-1).
NPI number1124930003
StatusActive
Last updated in NPPESSep 17, 2026
Details
- NPI
- 1124930003
- Entity type
- Individual (NPI-1)
- Name
- Tayrra McCormick
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2026
- Certification date
- Sep 17, 2026
- Last updated
- Sep 17, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
104 S Front AvePrestonsburg, KY 41653-1614
Phone 606-886-8572
Mailing address
104 S Front Ave104 S Front Ave
Prestonsburg, KY 41653-1614
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 1,167 Mental Health Counselor providers in Prestonsburg · All 3,624 providers in Prestonsburg
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