Individual provider Active NPI

Stephanie G Reyes

  • Mental Health Counselor
  • Monterey, CA
National Provider Identifier
1255755401
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
78716 Issued in CA
Practice address
9829 Blue Larkspur LN Ste 2
Monterey, CA 93940-6535
Phone
(831) 647-8490
NPI assigned
Feb 7, 2014
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 78716 CA Primary

Addresses

Primary practice location

9829 Blue Larkspur LN Ste 2
Monterey, CA 93940-6535

Mailing address

9829 Blue Larkspur LN Ste 2
Monterey, CA 93940-6535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241002003078 CA Practitioner - Marriage and Family Therapist 2163953050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspring Psychological Services IncGroup PAC ID 2961763784, 16 clinicians

Practice addresses (Care Compare)

9829 Blue Larkspur LN
Suite 2
Monterey, CA 93940-6535
Phone (831) 647-8490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
78716CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Psychological Services, Inc. CurrentSince Jul 26, 2024 Accepting new patients
Parents Center Past Accepting new patients
Parents Center, Inc. PastSince Dec 28, 2022 Accepting new patients

Locations

9829 Blue Larkspur Ln
Ste 2
Monterey, CA 93940
Phone (831) 647-8490

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1255755401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9829 BLUE LARKSPUR LN STE 2",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9829 BLUE LARKSPUR LN STE 2",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406535",
            "telephone_number": "831-647-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "STEPHANIE",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-07",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "78716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.