Ian Michael Reeder

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

83131 Issued in TX

Practice address

5372 Fredericksburg Rd BLDG F
San Antonio, TX 78229-3558

Phone

(210) 261-1600

NPI assigned

Jul 28, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• TX HMO
• TX HMO D-SNP
• NM HMO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mendez Counseling Centers, PLLC

  • Mental Health Counselor
  • San Antonio, TX
  • NPI 1710626478
  NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Professional

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1003589839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5372 FREDERICKSBURG RD BLDG F",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293558",
            "telephone_number": "210-261-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5372 FREDERICKSBURG RD BLDG F",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293558",
            "telephone_number": "210-261-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6800 Park Ten Blvd Ste 200S",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782134293",
            "country_code": "US",
            "telephone_number": "210-261-1060",
            "fax_number": "210-261-1821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEDER",
        "first_name": "IAN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-28",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ray Reed, PA-C
• Natascha Elizabeth Reed
• Nathaniel Clyde Reed
• Shemeka Reed
• Victoria Reed, PA-C
• Elizabeth Anne Reedy, LAC
• Samantha Reeh, CPNP-PC, APRN
• Bradley A Reel, MD
• Erin Renee Reel
• Lauren B Reel, M.D.

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.