Individual provider Active NPI

Reynold Lee Barnes, LMHC, LADC1, CADAC

  • Mental Health Counselor
  • Brookline, MA
National Provider Identifier
1407189004
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7086 Issued in MA
Practice address
79 Stedman St
Brookline, MA 02446-6008
Phone
(875) 719-7089
Fax
(508) 233-7710
NPI assigned
Sep 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1259AD MA
Addiction (Substance Use Disorder) Counselor 101YA0400X 2157 MA
Mental Health Counselor 101YM0800X 7086 MA Primary

Addresses

Primary practice location

79 Stedman St
Brookline, MA 02446-6008

Mailing address

54 Highcrest Rd
Roslindale, MA 02131-4824
Phone (857) 719-7089

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

State licenses

LicenseStateTypeSpecialty
1259ADMAMDAddiction (Substance Use Disorder) Counselor
7086MAMDClinical Psychologist
2157MAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1407189004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HIGHCREST RD",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021314824",
            "telephone_number": "857-719-7089",
            "fax_number": "508-233-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 STEDMAN ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024466008",
            "telephone_number": "875-719-7089",
            "fax_number": "508-233-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "REYNOLD",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LMHC, LADC1, CADAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "1259AD",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "2157",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.