Active NPI
Rebecca J Reynolds, LPC
- Counselor
- Palestine, TX
National Provider Identifier
1225323827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 65692
- Practice address
- 3320 S Loop 256
Palestine, TX 75801-6984 - Phone
- (903) 723-6136
- Fax
- (903) 589-3443
- NPI assigned
- Jun 13, 2011
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 65692 | TX | Primary |
Addresses
Primary practice location
3320 S Loop 256
Palestine, TX 75801-6984
Mailing address
5656 N Jackson St
Jacksonville, TX 75766-9641
Phone (903) 589-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 283546401 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 65692 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419811200000",
"number": "1225323827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5656 N JACKSON ST",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757669641",
"telephone_number": "903-589-9000",
"fax_number": "903-589-3443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 S LOOP 256",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758016984",
"telephone_number": "903-723-6136",
"fax_number": "903-589-3443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "REBECCA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-13",
"last_updated": "2014-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "65692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "283546401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palestine, TX
- Jodie Reed, LCSW
- Regional Radiology Associates
- Renal Care Group Texas, Inc. (Palestine Dialysis Center)
- Restrata Health Group PLLC (Texas Family Health Center)
- Kristina L Reyes, FNP
- Rhapsody Emergency Physicians, PPLC
- Don Andrew Rice, D.C.
- Christa Lynn Richbourg, ST
- Fernando Adolfo Rios, FNP
- Robert J. Falconer, MD, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.