Active NPI
Alyson Reynolds Kohl, MFT
- Marriage & Family Therapist
- Redding, CA
National Provider Identifier
1235600669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 33101
- Practice address
- 2628 Victor Ave Ste C
Redding, CA 96002-1454 - Phone
- (530) 638-3368
- Fax
- (530) 653-2332
- NPI assigned
- Dec 11, 2018
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 33101 | CA | Primary |
Addresses
Primary practice location
2628 Victor Ave Ste C
Redding, CA 96002-1454
Mailing address
2323 Churn Creek Rd Unit 492102
Redding, CA 96049-5328
Phone (530) 638-3368
Other names 1
- Alyson Dabbs Reynolds
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33101 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1235600669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 CHURN CREEK RD UNIT 492102",
"city": "REDDING",
"state": "CA",
"postal_code": "960495328",
"telephone_number": "530-638-3368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2628 VICTOR AVE STE C",
"city": "REDDING",
"state": "CA",
"postal_code": "960021454",
"telephone_number": "530-638-3368",
"fax_number": "530-653-2332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHL",
"first_name": "ALYSON",
"middle_name": "REYNOLDS",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-11",
"last_updated": "2023-09-25",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "33101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSON",
"last_name": "REYNOLDS",
"middle_name": "DABBS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.