Individual provider Active NPI

Jeffrey Reznicek-Parrado, PH.D.

  • Counseling Psychologist
  • Denver, CO
National Provider Identifier
1396278024
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY27790 Issued in CA
Practice address
950 Magnolia St
Denver, CO 80220-4717
Phone
(530) 746-8319
NPI assigned
Apr 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PSY4818 CO
Counseling Psychologist 103TC1900X PSY27790 CA Primary

Addresses

Primary practice location

950 Magnolia St
Denver, CO 80220-4717

Mailing address

950 Magnolia St
Denver, CO 80220-4717
Phone (530) 746-8319

Other names 1

  • Dr. Jeff Reznicek Other name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY27790CAMDCounseling Psychologist
PSY4818COMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Reznicek PHD Counseling CurrentSince Feb 19, 2023 Accepting new patients
Cook Psychotherapy Incorporated Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1396278024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 MAGNOLIA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204717",
            "telephone_number": "530-746-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MAGNOLIA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204717",
            "telephone_number": "530-746-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZNICEK-PARRADO",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-10",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "PSY4818",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY27790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFF",
            "last_name": "REZNICEK",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.