Active NPI
Jeffrey Reichl, LPC
- Professional Counselor
- Stroudsburg, PA
National Provider Identifier
1053780858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC008429
- Practice address
- 745 Main St
Ste 204
Stroudsburg, PA 18360-2059 - Phone
- (570) 994-2664
- NPI assigned
- Sep 22, 2015
- 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 | PC008429 | PA | Primary |
Addresses
Primary practice location
745 Main St
Ste 204
Stroudsburg, PA 18360-2059
Mailing address
745 Main St
Ste 204
Stroudsburg, PA 18360-2059
Phone (570) 994-2664
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 |
|---|---|---|---|
| PC008429 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pocono Behavioral Wellness, 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1053780858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 MAIN ST",
"address_2": "STE 204",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183602059",
"telephone_number": "570-994-2664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 MAIN ST",
"address_2": "STE 204",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183602059",
"telephone_number": "570-994-2664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICHL",
"first_name": "JEFFREY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-22",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC008429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.