Active NPI
Miriam C Reyes, BS
- Mental Health Counselor
- Des Moines, WA
National Provider Identifier
1043595556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 830395
- Practice address
- 1909 S 259TH St
Des Moines, WA 98198-9043 - Phone
- (702) 841-4058
- NPI assigned
- Oct 15, 2011
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 830395 | NV | Primary |
Addresses
Primary practice location
1909 S 259TH St
Des Moines, WA 98198-9043
Mailing address
1909 S 259TH St
Des Moines, WA 98198-9043
Phone (702) 841-4058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 830395 | Other | NV | 830395 |
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 830395 | NV | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1043595556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 S 259TH ST",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981989043",
"telephone_number": "702-841-4058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 S 259TH ST",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981989043",
"telephone_number": "702-841-4058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "MIRIAM",
"middle_name": "C",
"credential": "BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-15",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "830395",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "830395",
"identifier": "830395",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.