Active NPI
James Brian Reeves, M.A., L.P.C.C.
- Professional Counselor
- Albuquerque, NM
National Provider Identifier
1043402704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4369
- Practice address
- 3901 Louisiana Blvd NE Ste C
Albuquerque, NM 87110-1448 - Phone
- (505) 888-1686
- Fax
- (505) 888-1683
- NPI assigned
- Aug 15, 2007
- Last updated
- Jul 21, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4369 | NM | Primary |
Addresses
Primary practice location
3901 Louisiana Blvd NE Ste C
Albuquerque, NM 87110-1448
Mailing address
203 Silver Ave SW Unit 312
Albuquerque, NM 87102
Phone (575) 313-4043
Other practice location 1
125 E Palace Ave
Suite 57
Santa Fe, NM 87501-2085
Phone (505) 995-9745
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28422856 | Medicaid | NM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4369 | NM | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1043402704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 SILVER AVE SW UNIT 312",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87102",
"telephone_number": "575-313-4043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 LOUISIANA BLVD NE STE C",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871101448",
"telephone_number": "505-888-1686",
"fax_number": "505-888-1683"
}
],
"practiceLocations": [
{
"address_1": "125 E Palace Ave",
"address_2": "Suite 57",
"address_purpose": "LOCATION",
"city": "Santa Fe",
"state": "NM",
"postal_code": "875012085",
"country_code": "US",
"telephone_number": "505-995-9745",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REEVES",
"first_name": "JAMES",
"middle_name": "BRIAN",
"name_prefix": "Mr.",
"credential": "M.A., L.P.C.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "4369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "28422856",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.