Reginald Oswald Butler, ED.D, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1551 Issued in TN

Practice address

2128 Cedargreens Rd
Knoxville, TN 37924-1589

Phone

(865) 207-1568

Fax

(865) 524-0827

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Koinonia Counseling Center

  • Exclusive Provider Organization
  • Knoxville, TN
  • NPI 1225220700
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093868689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 DEWINE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379214211",
            "telephone_number": "865-584-6374",
            "fax_number": "865-584-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 CEDARGREENS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379241589",
            "telephone_number": "865-207-1568",
            "fax_number": "865-524-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "REGINALD",
        "middle_name": "OSWALD",
        "name_prefix": "Dr.",
        "credential": "ED.D, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "1551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gareth Butler
• Jackson Butler, MSN, APRN, AGCNS-BC
• Jean Thompson Butler, MD
• Jennifer W Butler, ANP-BC
• Mariann Wheeler Butler, MS, RD, LDN
• Rhett Thomas Butler, HS
• Rochelle A Butler
• Teresa Ann Butler, PTA
• James Michael Butts
• Melanie Ann Buturff

• Professional Counselor in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.