Individual provider Active NPI

Marty Jay Rein, PHD, LPC, CAC III

  • Addiction (Substance Use Disorder) Counselor
  • Fort Collins, CO
National Provider Identifier
1245537588
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACC-7103 Issued in CO
Practice address
317 Walnut St
Fort Collins, CO 80524-2438
Phone
(970) 829-7399
NPI assigned
Feb 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACC-7103 CO Primary
Mental Health Counselor 101YM0800X LPC-5666 CO

Addresses

Primary practice location

317 Walnut St
Fort Collins, CO 80524-2438

Mailing address

600 Cook Dr
Fort Collins, CO 80521-3313
Phone (970) 829-7399

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
ACC-7103COMDAddiction (Substance Use Disorder) Counselor
LPC-5666COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1245537588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 COOK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805213313",
            "telephone_number": "970-829-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 WALNUT ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242438",
            "telephone_number": "970-829-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIN",
        "first_name": "MARTY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, CAC III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-23",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC-7103",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC-5666",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.