Jacob Dale Reinarts, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1590 Issued in ND

Practice address

2504 Circle Dr # 58401
Jamestown, ND 58401

Phone

(701) 253-3755

Fax

(701) 253-3757

NPI assigned

Oct 22, 2008

Last updated

Aug 19, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jake Reinarts Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1407008360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 CIRCLE DR",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "58401",
            "telephone_number": "701-253-3755",
            "fax_number": "701-253-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 CIRCLE DR # 58401",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "58401",
            "telephone_number": "701-253-3755",
            "fax_number": "701-253-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINARTS",
        "first_name": "JACOB",
        "middle_name": "DALE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "REINARTS",
            "credential": "LAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah Lynn Redding
• Shelby Reed, ATC
• Donna J Rehak, LSW
• Leah Anna Marie Reimers, RD
• Courtney M Reinarts, LCSW
• Madelyn Reinarts, SLP
• Brandi Lynn Reinhart
• Tammy Virginia Reis
• Leslie Reisnour
• Amy Remboldt

• Addiction (Substance Use Disorder) Counselor in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Addiction (Substance Use Disorder) Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.