Active NPI
Hallie Reynolds
- Marriage & Family Therapist
- Medford, WI
National Provider Identifier
1033709597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1249-228
- Practice address
- 429 W Broadway Ave
Medford, WI 54451-1608 - Phone
- (715) 748-4312
- NPI assigned
- Jan 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1249-228 | WI | Primary |
Addresses
Primary practice location
429 W Broadway Ave
Medford, WI 54451-1608
Mailing address
429 W Broadway Ave
Medford, WI 54451-1608
Phone (715) 748-4312
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1033709597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 W BROADWAY AVE",
"city": "MEDFORD",
"state": "WI",
"postal_code": "544511608",
"telephone_number": "715-748-4312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 W BROADWAY AVE",
"city": "MEDFORD",
"state": "WI",
"postal_code": "544511608",
"telephone_number": "715-748-4312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "HALLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-19",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "1249-228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.