Individual provider Active NPI

Camille Reinecker, LMFT

  • Mental Health Counselor
  • Calabasas, CA
National Provider Identifier
1306487715
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
115704 Issued in CA
Practice address
23922 Aspen Way
Calabasas, CA 91302-2385
Phone
(818) 274-2227
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 115704 CA
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 115704 CA Primary

Addresses

Primary practice location

23922 Aspen Way
Calabasas, CA 91302-2385

Mailing address

23922 Aspen Way
Calabasas, CA 91302-2385
Phone (818) 274-2227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20241018003584 CA Practitioner - Marriage and Family Therapist 7517499213 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115704CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pinedale Psychology, PC Mental Health Current Accepting new patients

Locations

715 N Central Ave
Glendale, CA 91203
Phone (818) 731-5352

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1306487715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23922 ASPEN WAY",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913022385",
            "telephone_number": "818-274-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23922 ASPEN WAY",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913022385",
            "telephone_number": "818-274-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINECKER",
        "first_name": "CAMILLE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "115704",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "115704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.