Jeanette B Reid, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH5489 Issued in FL

Practice address

6161 9TH St N
Suite 201
St Petersburg, FL 33703-1104

Phone

(727) 422-4151

Fax

(727) 498-8605

NPI assigned

Jul 6, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1053540583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 9TH ST N",
            "address_2": "SUITE 201",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031104",
            "telephone_number": "727-422-4151",
            "fax_number": "727-498-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 9TH ST N",
            "address_2": "SUITE 201",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031104",
            "telephone_number": "727-422-4151",
            "fax_number": "727-498-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JEANETTE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5489",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "937A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PAC WAIVER",
            "identifier": "677838100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED ADDICTIONS COUNSELOR",
            "identifier": "937A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carisa Chantal Rehbein
• Mohamed A Rehman, M.D.
• Ernest C Rehnke, M.D.
• Robert Dickerson Rehnke, M.D.
• Ethan Paul Reid, APRN
• Quiana Reid
• Ruth K Reid, RNFA
• Taguna Martinez Reid
• Elizabeth M Reilly Hays, MD
• Margaret Ann Reilly, PT

• Mental Health Counselor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.