Justine J. Reel, PH.D., NCC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11424 Issued in NC

Practice address

510 Hamlet Ave
Carolina Beach, NC 28428-5015

Phone

(801) 923-2075

NPI assigned

Oct 3, 2007

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 14, 2016.

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455408000000",
    "number": "1235327271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HAMLET AVE",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284285015",
            "telephone_number": "801-923-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HAMLET AVE",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284285015",
            "telephone_number": "801-923-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEL",
        "first_name": "JUSTINE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D., NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2016-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LPC",
            "identifier": "11424",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOPL - CPCI",
            "identifier": "6221825-6009",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Carolina Beach, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2016; 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.