Individual provider Active NPI

Aurora Reyes, L.P.C.

  • Professional Counselor
  • Salt Lake City, UT
National Provider Identifier
1275634875
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
360545-6004 Issued in UT
Practice address
Salt Lake County Substance Abuse
2001 South State St # S -2300
Salt Lake City, UT 84190-2250
Phone
(801) 468-2011
Fax
(801) 468-2006
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 360545-6004 UT Primary

Addresses

Primary practice location

Salt Lake County Substance Abuse
2001 South State St # S -2300
Salt Lake City, UT 84190-2250

Mailing address

5456 Ardennes Way
Stansbury Park, UT 84074-8057
Phone (435) 228-8550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
360545-6004UTMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1275634875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5456 ARDENNES WAY",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840748057",
            "telephone_number": "435-228-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SALT LAKE COUNTY SUBSTANCE ABUSE",
            "address_2": "2001 SOUTH STATE ST # S -2300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841902250",
            "telephone_number": "801-468-2011",
            "fax_number": "801-468-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "AURORA",
        "name_prefix": "Ms.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "360545-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.