Individual provider Active NPI

Nancy Inge Reyes, CPSS, RAOD

  • Peer Specialist
  • San Marcos, CA
National Provider Identifier
1124842067
Registry record updated Jul 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-GBZWPV Issued in CA
Practice address
1560 Capalina Rd
San Marcos, CA 92069-1288
Phone
(760) 744-2104
NPI assigned
Nov 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X MPSS-GBZWPV CA
Addiction (Substance Use Disorder) Counselor 101YA0400X SUDRCI26009 CA
Case Manager/Care Coordinator 171M00000X SURRCI26009 CA
Peer Specialist 175T00000X MPSS-GBZWPV CA Primary

Addresses

Primary practice location

1560 Capalina Rd
San Marcos, CA 92069-1288

Mailing address

1560 Capalina Rd
San Marcos, CA 92069-1288
Phone (760) 744-2104

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

LicenseStateTypeSpecialty
MPSS-GBZWPVCAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Exodus Recovery, Inc. CurrentSince Aug 25, 2025 Accepting new patients
Exodus Recovery, Inc. CurrentSince Aug 25, 2025 Accepting new patients

Locations

9808 Venice Blvd
Ste 300
Culver City, CA 90232
Phone (310) 237-0454

536 W Vista Way
Ste A
Vista, CA 92083
Phone (760) 305-4940

Organizations & group practices 2

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": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783814400000",
    "number": "1124842067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 CAPALINA RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691288",
            "telephone_number": "760-744-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 CAPALINA RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691288",
            "telephone_number": "760-744-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "NANCY",
        "middle_name": "INGE",
        "credential": "CPSS, RAOD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CA",
            "license": "MPSS-GBZWPV",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "SUDRCI26009",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "SURRCI26009",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-GBZWPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2026; 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.