Kevin Michael Reinhold

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3716-226 Issued in WI

Practice address

W6254 US Highway 10 114
Menasha, WI 54952-9638

Phone

(920) 209-9194

NPI assigned

Oct 19, 2017

Sex

Male

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22083/brand/1/csg/1/fhir/r4

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.

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  NPD (past)
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• GJB Health Services, LLC

  • Psychologist
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  Professional

  NPD (past)

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265943096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3128 N BALLARD RD APT 24",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W6254 US HIGHWAY 10 114",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549529638",
            "telephone_number": "920-209-9194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 N Lynndale Dr Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549143078",
            "country_code": "US",
            "telephone_number": "920-560-4525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINHOLD",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3716-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anisah Rahaman, DPT
• Kirk Anthony Rattray, MSW
• Alexander Reget, DPT
• Wendy Reha
• Caitlin M Reider, SAC
• Resilience PT & Performance
• Ann Reuter
• Revitalize Counseling Services LLC
• Samuel Ricker, PA
• Amy Joan Riesterer

• Professional Counselor in Menasha, WI
• Providers in Menasha, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.