Active NPI
Rodney Kent Reese, MA. LPC
- Professional Counselor
- Converse, TX
National Provider Identifier
1104440429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 72912
- Practice address
- 4227 Battery Park
Converse, TX 78109-2810 - Phone
- (210) 722-5843
- NPI assigned
- Jun 2, 2020
- 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 | 72912 | TX | Primary |
Addresses
Primary practice location
4227 Battery Park
Converse, TX 78109-2810
Mailing address
4227 Battery Park
Converse, TX 78109-2810
Phone (210) 722-5843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11901 Toepperwein Rd
Suite 1202
Live Oak, TX 78233-3158
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usawa Wellness Services | Professional | Current | Accepting new patients |
Locations
11901 Toepperwein Rd
Ste 1202
Live Oak, TX 78233
Phone (210) 656-5848
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591056000000",
"number": "1104440429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4227 BATTERY PARK",
"city": "CONVERSE",
"state": "TX",
"postal_code": "781092810",
"telephone_number": "210-722-5843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4227 BATTERY PARK",
"city": "CONVERSE",
"state": "TX",
"postal_code": "781092810",
"telephone_number": "210-722-5843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "RODNEY",
"middle_name": "KENT",
"credential": "MA. LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-02",
"last_updated": "2020-06-02",
"certification_date": "2020-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "72912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Converse, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.