Active NPI
Stephen S Reeder, M.A., LPC, LPCC, NCC
- Counselor
- Santa Monica, CA
National Provider Identifier
1013242692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2121 Cloverfield Blvd Ste 131
Santa Monica, CA 90404-5277 - Phone
- (310) 829-9161
- NPI assigned
- Oct 15, 2009
- Last updated
- Feb 8, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2121 Cloverfield Blvd Ste 131
Santa Monica, CA 90404-5277
Mailing address
1305 Krameria St # H135
Denver, CO 80220-2743
Phone (323) 334-0637
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011355 | Other | CO | THERAPIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1013242692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 KRAMERIA ST # H135",
"city": "DENVER",
"state": "CO",
"postal_code": "802202743",
"telephone_number": "323-334-0637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 CLOVERFIELD BLVD STE 131",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904045277",
"telephone_number": "310-829-9161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEDER",
"first_name": "STEPHEN",
"middle_name": "S",
"credential": "M.A., LPC, LPCC, NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-15",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THERAPIST",
"identifier": "0011355",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.