Active NPI
Robert Jesse Reed, MS, LPC/CMHC
- Professional Counselor
- Ogden, UT
National Provider Identifier
1215056247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8111684-6004
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60697 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace & Peace Christian Counseling | Current | 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.
-
- Mental Health Counselor
- Ogden, UT
- NPI 1992269732
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.