Individual provider Active NPI

Robert Jesse Reed, MS, LPC/CMHC

  • Professional Counselor
  • Ogden, UT
National Provider Identifier
1215056247
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8111684-6004 Issued in UT
Practice address
2909 Washington Blvd
Suite 101
Ogden, UT 84401-3744
Phone
(888) 801-1556
Fax
(877) 544-4630
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 60697 TX
Professional Counselor 101YP2500X 8111684-6004 UT Primary

Addresses

Primary practice location

2909 Washington Blvd
Suite 101
Ogden, UT 84401-3744

Mailing address

PO Box 6332
Ogden, UT 84402-6332
Phone (888) 801-1556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20240522001905 UT Practitioner - Mental Health Counselor 6709226210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace and Peace Christian CounselingGroup PAC ID 8820438336, 3 clinicians

Practice addresses (Care Compare)

2909 Washington Blvd
Ogden, UT 84401-3744
Phone (888) 801-1556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
60697TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grace & Peace Christian Counseling CurrentSince Mar 28, 2024 Accepting new patients

Locations

2909 Washington Blvd
Ste 101
Ogden, UT 84401
Phone (801) 404-2473

2909 Washington Blvd
Ogden, UT 84401
Phone (801) 603-3246

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1215056247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6332",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844026332",
            "telephone_number": "888-801-1556",
            "fax_number": "877-544-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 WASHINGTON BLVD",
            "address_2": "SUITE 101",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844013744",
            "telephone_number": "888-801-1556",
            "fax_number": "877-544-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "ROBERT",
        "middle_name": "JESSE",
        "credential": "MS, LPC/CMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "60697",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "8111684-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.