Diana Michelle Reynolds

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.006464 Issued in IL

Practice address

819 Busse Hwy
Maine Center
Park Ridge, IL 60068-2360

Phone

(847) 696-1376

Fax

(847) 696-1587

NPI assigned

Mar 30, 2007

Last updated

Oct 2, 2026By the provider in NPPES

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

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Balance & Wellbeing, LLC

  • Child & Adolescent Psychiatry Physician
  • Schaumburg, IL
  • NPI 1386299675
  Medicare reassignment NPD
• Psyche Wellbeing

  • Child & Adolescent Psychiatry Physician
  • Vancouver, WA
  • NPI 1609601384

  IL

  Medicare reassignment NPD
• Maine Center, Inc.

  • Community/Behavioral Health Agency
  • Park Ridge, IL
  • NPI 1518087188
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1265552681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 BUSSE HWY",
            "address_2": "MAINE CENTER",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682360",
            "telephone_number": "847-696-1376",
            "fax_number": "847-696-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 BUSSE HWY",
            "address_2": "MAINE CENTER",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682360",
            "telephone_number": "847-696-1376",
            "fax_number": "847-696-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "DIANA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.006464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Margaret Rembecki, DPT
• Resurrection Services (Presence Medical Group)
• Morgan Taylor Retzer, LPC
• Sarah K Reul, DR OT, OTR L
• Kayla Lee Reyes, DO
• Michael Rezak, MD, PHD
• Rfmzen Med LLC
• William D. Rhoades, D.O.
• Stephanie Antoinette Rialmo, MA, LPC
• Danielle Renee Rice, M.D.

• Professional Counselor in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.