Demira Reyes

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A19206 Issued in NC

Practice address

4250 Clinton Rd
Fayetteville, NC 28312-8517

Phone

(910) 920-1050

NPI assigned

Oct 2, 2023

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1013797687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 LEMUEL FARM RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283129274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 CLINTON RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283128517",
            "telephone_number": "910-920-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "DEMIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revolution Incorporated
• Revolution USA Group Incorporated
• Jaime Reyes Gonzalez, MA
• Alexandria Reyes-Smith, RD
• Audrey Rose Pagtalunan Reyes, PT, DPT
• Naphasorn Reyes
• Victoria Ashley Reyna, DO
• Jessica Marie Reynalds, DOT OTR/L
• Alvin E'Shaun Leamond Reynolds, MSW, LCSWA
• Claudia Reynolds

• Mental Health Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.