Manijeh Reynolds, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

279091 Issued in KY

Practice address

7614 Pauls View PL
Louisville, KY 40228-1357

Phone

(316) 390-0434

NPI assigned

Nov 15, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Hope and Light

  • Mental Health Counselor
  • Louisville, KY
  • NPI 1932806742
  NPD Authorized official

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1013420751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 FERN CREEK RD UNIT 91796",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402917035",
            "telephone_number": "316-390-0434",
            "fax_number": "502-830-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7614 PAULS VIEW PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402281357",
            "telephone_number": "316-390-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MANIJEH",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "03344",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "3056",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "279091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100837810",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Nowell Reynolds, M.D.
• Jeffrey L Reynolds, MD
• Jennifer Reynolds
• Kristen Keeling Reynolds, PHD
• Lori Ann Reynolds, OTR/L
• Meghan Louise Reynolds, P.T.
• Nicholas Daniel Reynolds, MD
• Rachel Elizabeth Reynolds, DMD
• Sean N Reynolds, MD
• Shannon Reynolds

• Mental Health Counselor in Louisville, KY
• Providers in Louisville, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.