Active NPI
Debbie Reynolds
- Professional Counselor
- Harahan, LA
National Provider Identifier
1326245739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4765
- Practice address
- 800 Hickory Ave Ste D
Harahan, LA 70123-3149 - Phone
- (504) 541-4601
- NPI assigned
- Jun 29, 2007
- Last updated
- Jun 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4765 | LA | Primary |
| Marriage & Family Therapist | 106H00000X | MFC 40743 | CA |
Addresses
Primary practice location
800 Hickory Ave Ste D
Harahan, LA 70123-3149
Mailing address
575 Hickory Ave
Harahan, LA 70123-3104
Phone (504) 541-4601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107318 | Other | CA | SAN JOSE CITY ID # |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 40743 | CA | MD | Marriage & Family Therapist |
| 4765 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1326245739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 HICKORY AVE",
"city": "HARAHAN",
"state": "LA",
"postal_code": "701233104",
"telephone_number": "504-541-4601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 HICKORY AVE STE D",
"city": "HARAHAN",
"state": "LA",
"postal_code": "701233149",
"telephone_number": "504-541-4601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "DEBBIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "4765",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 40743",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAN JOSE CITY ID #",
"identifier": "107318",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harahan, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.