Mr. Evanglist Cory Taylor III
Mr. Evanglist Cory Taylor III is a Addiction (Substance Use Disorder) Counselor provider (Counselor) practicing in Ceres, CA, registered in the NPPES registry with NPI 1639414899 since 2012.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639414899 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Evanglist Cory Taylor III |
| Sex | Male |
| Practice address | 1904 RICHLAND AVE, Ceres, CA, 95307 |
| Phone | 2095412121 |
| Enumeration date | 2012-11-29 |
| Last updated in NPPES | 2023-09-27 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | Primary | — | — |
Copy-ready billing details
Provider: Evanglist Taylor NPI: 1639414899 Taxonomy: 101YA0400X (Addiction (Substance Use Disorder) Counselor) Address: 1904 RICHLAND AVE, Ceres, CA, 95307
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1548187487 | Samantha Koehn | Individual | Addiction (Substance Use Disorder) Counselor | Ceres, CA |
| 1174605067 | Kenneth Richter | Individual | Psychiatry Physician | Ceres, CA |
| 1770667990 | Julia Brown | Individual | Psychiatric/Mental Health Registered Nurse | Ceres, CA |
| 1891835138 | Laura Chavez | Individual | Addiction (Substance Use Disorder) Counselor | Ceres, CA |
| 1215063177 | Philip Hoile | Individual | Clinical Psychologist | Ceres, CA |
| 1700912334 | Mary Aguirre | Individual | Case Manager/Care Coordinator | Ceres, CA |
| 1518093343 | Rachel Acosta | Individual | Marriage & Family Therapist | Ceres, CA |
| 1164559381 | Dawn Vercelli | Individual | Addiction (Substance Use Disorder) Counselor | Ceres, CA |
Verify this record
Cross-check NPI 1639414899 against the authoritative CMS record: view Mr. Evanglist Cory Taylor III on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-09-27.