Individual provider Active NPI

C. Rene Reed, CASII, RAS

  • Addiction (Substance Use Disorder) Counselor
  • San Diego, CA
National Provider Identifier
1215147590
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
01-035982 Issued in CA
Practice address
6154 Mission Gorge Rd Ste 120
San Diego, CA 92120-3435
Phone
(619) 285-1718
Fax
(619) 285-3803
NPI assigned
May 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 01-035982 CA Primary

Addresses

Primary practice location

6154 Mission Gorge Rd Ste 120
San Diego, CA 92120-3435

Mailing address

6154 Mission Gorge Rd Ste 120
San Diego, CA 92120-3435
Phone (619) 285-1718

Other identifiers 1

IdentifierTypeStateIssuer
37ALMedicaidCA

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

State licenses

LicenseStateTypeSpecialty
01-035982CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215147590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6154 MISSION GORGE RD STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203435",
            "telephone_number": "619-285-1718",
            "fax_number": "619-285-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6154 MISSION GORGE RD STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203435",
            "telephone_number": "619-285-1718",
            "fax_number": "619-285-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "C.",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "CASII, RAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "01-035982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37AL",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.