Lisseth Reyes, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT119650 Issued in CA

Practice address

1100 Quail St Ste 206
Newport Beach, CA 92660-2782

Phone

(949) 954-0165

NPI assigned

Aug 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• La Therapy & Family Counseling, Inc

  • Counselor
  • Burbank, CA
  • NPI 1063026961
  NPD (past)

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1265042949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 CARSON ST STE 123",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124006",
            "telephone_number": "949-954-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 QUAIL ST STE 206",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602782",
            "telephone_number": "949-954-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "LISSETH",
        "name_prefix": "Ms.",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT119650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restorative Performance Physical Therapy, Professional Corporation
• Resurgence California, LLC
• Reuben Johnson DDS & Ankit Keshav DDS Inc
• Revive Regenerative Medical Group Inc
• Cecil S. Reyes, PA-C
• Macy Huynh Reyes, PSB-94029530
• Teresa Adriana Reyes
• Karla J Reynel Naquira
• Reza Bashtar MD, Inc
• Sarah Rezaee, PMHNP-BC

• Marriage & Family Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.