Active NPI
Anthony Reynolds, LPC
- Professional Counselor
- Montgomery, AL
National Provider Identifier
1124537584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1843
- Practice address
- 386 Saint Lukes Dr
Montgomery, AL 36117-7108 - Phone
- (334) 440-8534
- Fax
- (334) 277-2786
- NPI assigned
- Sep 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4404 | GA | |
| Professional Counselor | 101YP2500X | 1843 | AL | Primary |
Addresses
Primary practice location
386 Saint Lukes Dr
Montgomery, AL 36117-7108
Mailing address
386 Saint Lukes Dr
Montgomery, AL 36117-7108
Phone (334) 440-8534
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 |
|---|---|---|---|
| 4404 | GA | MD | Professional Counselor |
| 1843 | AL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1124537584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "386 SAINT LUKES DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361177108",
"telephone_number": "334-440-8534",
"fax_number": "334-277-2786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "386 SAINT LUKES DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361177108",
"telephone_number": "334-440-8534",
"fax_number": "334-277-2786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "ANTHONY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "4404",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "1843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.