Marjorie L Reese, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC008279 Issued in GA

Practice address

14506 Ga 116
14506 Ga Hwy 116
Pine Mountain Valley, GA 31823-3182

Phone

(229) 310-1844

NPI assigned

May 31, 2019

Last updated

May 31, 2019By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shadow Horse Counseling, LLC

  • Professional Counselor
  • Warm Springs, GA
  • NPI 1891381620
  NPD Authorized official

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1023676459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "city": "PINE MOUNTAIN VALLEY",
            "state": "GA",
            "postal_code": "318230084",
            "telephone_number": "229-310-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14506 GA 116",
            "address_2": "14506 GA HWY 116",
            "city": "PINE MOUNTAIN VALLEY",
            "state": "GA",
            "postal_code": "318233182",
            "telephone_number": "229-310-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "MARJORIE",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC008279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Breugem, IBCLC
• Care Med Supplies
• Jill Amanda Derums, P.T., D.P.T.
• Nagaland Health Supplies
• Saffari Care Supplies

• Mental Health Counselor in Pine Mountain Valley, GA
• Providers in Pine Mountain Valley, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.