Gail Elizabeth Reynolds, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1391 Issued in OR

Practice address

1550 NW Eastman Pkwy
Gresham, OR 97030-3858

Phone

(503) 571-0725

NPI assigned

Aug 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1174638167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 NE 53RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132610",
            "telephone_number": "503-287-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 NW EASTMAN PKWY",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303858",
            "telephone_number": "503-571-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "GAIL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "1391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:1443/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysnc.svc/ceg",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "19500 SE Start",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rest Harbor Extended Care Center Inc. (Rest Harbor Rehabilitation & Extended Care)
• Resurgent Health, LLC
• Vivian R Reudink
• Esmeralda Reyes Lopez
• Fabian Reyes
• Valerie Ann Reynolds, M.A.
• Lark Rhodes
• Paige Ryan Rhodes, DPT
• Angela Rice, MT
• Mackenzie Rice

• Mental Health Counselor in Gresham, OR
• Providers in Gresham, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.