Individual provider Active NPI

Desiree Beverly Reitknecht, MFT

  • Marriage & Family Therapist
  • Princeton, NJ
National Provider Identifier
1144316050
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 43777 Issued in CA
Practice address
15 Turner Court
Princeton, NJ 08540-3507
Phone
(415) 596-8875
NPI assigned
Oct 5, 2006
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 43777 CA Primary
Marriage & Family Therapist 106H00000X 37FI00176400 NJ

Addresses

Primary practice location

15 Turner Court
Princeton, NJ 08540-3507

Mailing address

15 Turner CT
Princeton, NJ 08540-3426
Phone (415) 596-8875

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 43777CAMDMarriage & Family Therapist
37FI00176400NJMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Desiree Reitknecht MFT LLC Marriage & Family Therapist CurrentSince May 19, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1144316050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TURNER CT",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403426",
            "telephone_number": "415-596-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TURNER COURT",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403507",
            "telephone_number": "415-596-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITKNECHT",
        "first_name": "DESIREE",
        "middle_name": "BEVERLY",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 43777",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00176400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.