Active NPI
Tina M. Reed, M.A., L.P.C.
- Mental Health Counselor
- Van Buren, MO
National Provider Identifier
1174789580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 002695
- Practice address
- #4 Southwest Street
Van Buren, MO 63965-0904 - Phone
- (573) 323-8796
- Fax
- (573) 323-0377
- NPI assigned
- Aug 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 002695 | MO | Primary |
Addresses
Primary practice location
#4 Southwest Street
Van Buren, MO 63965-0904
Mailing address
PO Box 904
Van Buren, MO 63965-0904
Phone (573) 323-8796
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 493947006 | Medicaid | MO |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002695 | MO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217894400000",
"number": "1174789580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 904",
"city": "VAN BUREN",
"state": "MO",
"postal_code": "639650904",
"telephone_number": "573-323-8796",
"fax_number": "573-323-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#4 SOUTHWEST STREET",
"city": "VAN BUREN",
"state": "MO",
"postal_code": "639650904",
"telephone_number": "573-323-8796",
"fax_number": "573-323-0377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "TINA",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "M.A., L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-05",
"last_updated": "2008-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "002695",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "493947006",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Van Buren, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.