Jamie Anthony Reyes

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A044200417 Issued in CA

Practice address

40925 County Center Dr Ste 200
Temecula, CA 92591-6037

Phone

(951) 704-7097

NPI assigned

Oct 25, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1346717568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25393 WATER WHEEL CT",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925849611",
            "telephone_number": "323-440-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40925 COUNTY CENTER DR STE 200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916037",
            "telephone_number": "951-704-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "JAMIE",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-25",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A044200417",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "A044200417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Responsible Medical Solutions Corp
• Myrta Reveles
• Jose Miguel Revelo-Torres
• Christopher Thomas Revels
• Camila Reyes
• Karla Reyes
• Monica Tonantzin Reyes
• Pamela Reyes, M.S.
• Raquel Reyes
• Rosa Reyes

• Mental Health Counselor in Temecula, CA
• Providers in Temecula, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.