Reignite Brilliance, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

REIGNITE BRILLIANCE, LLC

Practice address

5252 Balboa Ave Ste 803
San Diego, CA 92117-6920

Phone

(858) 882-7872

NPI assigned

Apr 29, 2024

Organization subpart

No

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

Authorized official

Name

Jeannette Gilmore

Title

Owner

Phone

(858) 882-7872

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1306692389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17369",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921777369",
            "telephone_number": "858-882-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 803",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176920",
            "telephone_number": "858-882-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIGNITE BRILLIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-882-7872"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Reider, LPCC, PPS
• Michael Robert Reider, PH.D.
• Hassan Reidwon
• Erin Cynthia Reifler
• Nora Reigle
• Hanspeter Reihling, PHD, LMFT
• Emily Clare Reikes, LCSW
• Ellen Lenore Reiley, LCSW
• Cody M Reiling
• Alanna Reilly

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, 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 Apr 29, 2024; 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.