Ciera Brooke Reeves, MS, LMFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

204219 Issued in TX

Practice address

350 S. Merchant St.
Sour Lake, TX 77659

Phone

(281) 387-7269

NPI assigned

Oct 18, 2021

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 18, 2021.

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1053074963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S. MERCHANT ST.",
            "city": "SOUR LAKE",
            "state": "TX",
            "postal_code": "77659",
            "telephone_number": "281-387-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S. MERCHANT ST.",
            "city": "SOUR LAKE",
            "state": "TX",
            "postal_code": "77659",
            "telephone_number": "281-387-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "CIERA",
        "middle_name": "BROOKE",
        "credential": "MS, LMFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn D Klinger, A.T.C, L.A.T
• Lauren Letsinger
• Kristine Matlock
• Paul Wesolow MD
• Thomas C Perry, M.D.
• John H Shary III, MD
• Sour Lake Health & Medical, PLLC
• James Eric Weldon, M.D.
• Julie Weldy
• Charles R Wilson, D.O.

• All providers in Sour Lake, TX
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.