Active NPI
Mary Lou Reyna, LPC
- Professional Counselor
- McAllen, TX
National Provider Identifier
1063603744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 19880
- Practice address
- 507 W. Nolana Ave.
McAllen, TX 78504-3029 - Phone
- (956) 688-6229
- Fax
- (956) 688-6218
- NPI assigned
- Aug 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 19880 | TX | Primary |
Addresses
Primary practice location
507 W. Nolana Ave.
McAllen, TX 78504-3029
Mailing address
507 W Nolana Ave
McAllen, TX 78504-3029
Phone (956) 688-6229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177539701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1992
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3401 Gull Ave
McAllen, TX 78504-4833
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| International and Multicultural Psychological Services, P. C. | Current | Accepting new patients |
Locations
507 W Nolana Ave
McAllen, TX 78504
Phone (956) 688-6229
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.
-
- Clinical Psychologist
- McAllen, TX
- NPI 1366517914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332720000000",
"number": "1063603744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 W NOLANA AVE",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785043029",
"telephone_number": "956-688-6229",
"fax_number": "956-688-6218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 W. NOLANA AVE.",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785043029",
"telephone_number": "956-688-6229",
"fax_number": "956-688-6218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNA",
"first_name": "MARY",
"middle_name": "LOU",
"name_prefix": "Miss",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-07",
"last_updated": "2012-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "19880",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177539701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.