Individual provider Active NPI

Joseph Anthony Reyes, LPC, MT-BC

  • Professional Counselor
  • Coppell, TX
National Provider Identifier
1184459174
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
275 S Denton Tap Rd Ste 101
Coppell, TX 75019-5051
Phone
(469) 607-7850
NPI assigned
Sep 7, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 17303 TX
Professional Counselor 101YP2500X TX Primary

Addresses

Primary practice location

275 S Denton Tap Rd Ste 101
Coppell, TX 75019-5051

Mailing address

1200 Derby Run
Carrollton, TX 75007-2975
Phone (956) 970-2949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260326002431 TX Practitioner - Mental Health Counselor 8921583006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

700 Central Expy S
Suite 340
Allen, TX 75013-8109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17303TXMDMusic Therapist

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1184459174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 DERBY RUN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072975",
            "telephone_number": "956-970-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S DENTON TAP RD STE 101",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195051",
            "telephone_number": "469-607-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "credential": "LPC, MT-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-07",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "TX",
            "license": "17303",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.