Individual provider Active NPI

James David Reynolds, LPC

  • Professional Counselor
  • Boerne, TX
National Provider Identifier
1346726304
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
75845 Issued in TX
Practice address
29318 Angelfish Blvd
Boerne, TX 78006-3161
Phone
(432) 528-2111
Fax
(325) 271-5887
NPI assigned
Jul 12, 2018
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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 75845 TX Primary

Addresses

Primary practice location

29318 Angelfish Blvd
Boerne, TX 78006-3161

Mailing address

29318 Angelfish Blvd
Boerne, TX 78006-3161
Phone (432) 528-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231204000929 TX Practitioner - Mental Health Counselor 7911355896 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
75845TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Mental Health & Mental Retardation Center CurrentSince Nov 18, 2024 Accepting new patients
Abilene Regional MHMR Center Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

2616 S Clack St
Abilene, TX 79606
Phone (325) 690-5100

2626 S Clack St
Abilene, TX 79606
Phone (325) 690-5100

16160 Midway Rd
Ste 218
Addison, TX 75001
Phone (469) 680-3500

1345 River Bend Dr
Ste 200
Dallas, TX 75247
Phone (214) 743-1201

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1346726304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29318 ANGELFISH BLVD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063161",
            "telephone_number": "432-528-2111",
            "fax_number": "325-271-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29318 ANGELFISH BLVD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063161",
            "telephone_number": "432-528-2111",
            "fax_number": "325-271-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.