Matthias John Reynolds, LMFT, MAR

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001285 Issued in GA

Practice address

1417 Dutch Valley PL NE
Atlanta, GA 30324-5399

Phone

(404) 939-7712

NPI assigned

Mar 26, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• The Launch Pad Atl

  • Marriage & Family Therapist
  • Atlanta, GA
  • NPI 1003485392
  NPD Authorized official
• Phoenix and Pearl Counseling Services, LLC

  • Marriage & Family Therapist
  • Atlanta, GA
  • NPI 1316243975
  NPD (past)

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1407198625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 DUTCH VALLEY PL NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245399",
            "telephone_number": "404-939-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 DUTCH VALLEY PL NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245399",
            "telephone_number": "404-939-7712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1708 Peachtree St NW",
            "address_2": "Suite 505",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303092434",
            "country_code": "US",
            "telephone_number": "404-872-8065 x9",
            "fax_number": "404-872-0925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MATTHIAS",
        "middle_name": "JOHN",
        "credential": "LMFT, MAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "001285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlynn Reynolds
• Kathryn Reynolds
• Lashundra Reynolds
• Loriel Reynolds
• Madgie Boddie Reynolds, RN
• Mona Elaine Reynolds, D C
• Pamela Hlis Reynolds, DDS
• Roger Reynolds
• Sarah Reynolds, LMT, COTA
• Spencer W Reynolds

• Marriage & Family Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.