Active NPI
Latonja Reynolds, LPC, NCC
- Professional Counselor
- Montgomery, AL
National Provider Identifier
1053669291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2961
- Practice address
- 1826 W 5TH St
Montgomery, AL 36106-1516 - Phone
- (334) 312-6435
- NPI assigned
- Aug 20, 2012
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2961 | AL | Primary |
Addresses
Primary practice location
1826 W 5TH St
Montgomery, AL 36106-1516
Mailing address
56 Cotton Terrace Dr
Deatsville, AL 36022-2833
Phone (334) 312-6435
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2961 | AL | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Solutions, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Montgomery, AL
- NPI 1326473752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1053669291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 COTTON TERRACE DR",
"city": "DEATSVILLE",
"state": "AL",
"postal_code": "360222833",
"telephone_number": "334-312-6435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1826 W 5TH ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361061516",
"telephone_number": "334-312-6435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "LATONJA",
"name_prefix": "Dr.",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-20",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "2961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
- Fallon M. Reynolds, ALC
- Glenda Phillips Reynolds, ED. D.
- Haley Alice' Reynolds, ALC
- Jackson Reynolds, MD
- Jennifer Brown Reynolds, CRNA
- Liliana Marie Reynolds
- Sharon E Reynolds, NP
- Reza David Seirafi MD PC (Seirafi Surgery Center)
- Rhcsc Montgomery I Health Holdings LLC (Gardens of Waterford)
- Rheumatology Specialists Arthritis & Osteoporosis Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.