Organization Active NPI

Lauren Reeves Counseling PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jay, FL
National Provider Identifier
1255859146
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LAUREN REEVES COUNSELING PA
Practice address
5447 N Murphy Rd
Jay, FL 32565-1213
Phone
(352) 317-2619
Fax
(850) 204-1649
NPI assigned
Aug 31, 2017
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Lauren ReevesNPI 1972968386
Title
Owner
Phone
(352) 317-2619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

5447 N Murphy Rd
Jay, FL 32565-1213

Mailing address

5447 N Murphy Rd
Jay, FL 32565-1213
Phone (352) 317-2619

Other identifiers 1

IdentifierTypeStateIssuer
JP4GDOtherFLFL BLUE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1255859146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5447 N MURPHY RD",
            "city": "JAY",
            "state": "FL",
            "postal_code": "325651213",
            "telephone_number": "352-317-2619",
            "fax_number": "850-204-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5447 N MURPHY RD",
            "city": "JAY",
            "state": "FL",
            "postal_code": "325651213",
            "telephone_number": "352-317-2619",
            "fax_number": "850-204-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN REEVES COUNSELING PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-317-2619"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE",
            "identifier": "JP4GD",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.