Individual provider Active NPI

Lizzi Varga Reinard, M.A.

  • Art Therapist
  • Belleville, IL
National Provider Identifier
1366053647
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
Practice address
900 Royal Heights Rd Ste 2150
Belleville, IL 62226-5457
Phone
(618) 744-7297
NPI assigned
Aug 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Art Therapist 221700000X Primary

Addresses

Primary practice location

900 Royal Heights Rd Ste 2150
Belleville, IL 62226-5457

Mailing address

3316 Preston Dr
Granite City, IL 62040-5309
Phone (618) 709-1313

Other names 1

  • Lizzi Varga Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 25, 2024 through May 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Invictus Mind-Body Integration Therapy PLLC Mental Health Current Accepting new patients

Locations

189 E US Highway 40
Ste D
Troy, IL 62294
Phone (618) 744-0844

Organizations & group practices 1

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": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1366053647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 PRESTON DR",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620405309",
            "telephone_number": "618-709-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ROYAL HEIGHTS RD STE 2150",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265457",
            "telephone_number": "618-744-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINARD",
        "first_name": "LIZZI",
        "middle_name": "VARGA",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZZI",
            "last_name": "VARGA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.