Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Taylor Ross Merritt, LPHA

Individual provider Mental Health Counselor · NPI 1740959287

Taylor Ross Merritt, LPHA is a Mental Health Counselor in O Fallon, Illinois. Qualified in 2022, 4 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2021
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Practice location Address checks out

820 W Highway 50 Ste A
O Fallon, IL 62269-1827
Phone: (618) 792-5200
Fax: (618) 607-0562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 50 Northgate Industrial Dr, Granite City, IL 62040-6805 — (618) 877-4420
  • 211 E Hanover St, New Baden, IL 62265-1811 — (618) 792-5200

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 180017712 (IL)

Record details

NPI number1740959287
Entity typeIndividual (Type 1)
GenderMale
Credentials LPHA
Sole proprietorYes
NPI enumeratedSeptember 8, 2021
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in O Fallon