Invictus Mind-Body Integration Therapy PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INVICTUS MIND-BODY INTEGRATION THERAPY PLLC

Practice address

189 E US Highway 40 Ste D
Troy, IL 62294-2267

Phone

(423) 597-2688

Fax

(618) 505-5044

NPI assigned

Jul 15, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Lizzi Varga Reinard, LCPCNPI 1366053647

Title

Director

Phone

(423) 597-2688

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lizzi Varga Reinard, M.A.

  • Art Therapist
  • Belleville, IL
  • NPI 1366053647

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1386482453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 E US HIGHWAY 40 STE D",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622942267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 E US HIGHWAY 40 STE D",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622942267",
            "telephone_number": "423-597-2688",
            "fax_number": "618-505-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVICTUS MIND-BODY INTEGRATION THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "REINARD",
        "authorized_official_first_name": "LIZZI",
        "authorized_official_middle_name": "VARGA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "423-597-2688",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Troy, IL
• Providers in Troy, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.