Individual provider Active NPI

Rodney Kent Reese, MA. LPC

  • Professional Counselor
  • Converse, TX
National Provider Identifier
1104440429
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
72912 Issued in TX
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

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231209000685 TX Practitioner - Mental Health Counselor 0648629170 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Usawa Wellness Services Professional CurrentSince Jul 1, 2024 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

Verify at the official NPI Registry.