Active NPI
Jeanne Carette Reynolds, DMIN, LMFT
- Marriage & Family Therapist
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1808
- Practice address
- 791 Jonestown Rd
Winston Salem, NC 27103-1252 - Phone
- (336) 716-4551
- Fax
- (336) 716-9642
- NPI assigned
- Mar 1, 2023
- Last updated
- Jun 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1808 | NC | Primary |
Addresses
Primary practice location
791 Jonestown Rd
Winston Salem, NC 27103-1252
Mailing address
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 713-0947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
791 Jonestown Rd
WFBH Psychiatry Jonestown
Winston-Salem, NC 27103-1252
Phone (336) 716-2255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Carenet, Inc. | Current | Accepting new patients | |
| Carenet Inc | Marriage & Family Therapist | Current | Accepting new patients |
| Carenet Inc | Current | Accepting new patients | |
| Carenet, Inc | Past | Accepting new patients |
Locations
114 Highland Ave
Fayetteville, NC 28305
Phone (910) 484-0176
3219 Landmark St
Ste 9
Greenville, NC 27834
100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947
403 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 713-0267
791 Jonestown Rd
Winston Salem, NC 27103
Phone (336) 716-3693
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1003515891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KIMEL FOREST DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036074",
"telephone_number": "336-713-0947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "791 JONESTOWN RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031252",
"telephone_number": "336-716-4551",
"fax_number": "336-716-9642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "JEANNE",
"middle_name": "CARETTE",
"credential": "DMIN, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-01",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.