Active NPI
Marynna Tymme Reyes-McCallister, LPC
- Counselor
- League City, TX
National Provider Identifier
1427732486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 90835
- Practice address
- 127 Wesley Dr
League City, TX 77573-3633 - Phone
- (832) 736-7376
- NPI assigned
- Jun 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 90835 | TX | Primary |
Addresses
Primary practice location
127 Wesley Dr
League City, TX 77573-3633
Mailing address
2119 Savanna CT S
League City, TX 77573-5039
Phone (832) 622-8242
Other practice location 1
6021 Fairmont Pkwy Ste 200
Pasadena, TX 77505-4511
Phone (281) 769-2238
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
| License | State | Type | Specialty |
|---|---|---|---|
| 90835 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1427732486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2119 SAVANNA CT S",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775735039",
"telephone_number": "832-622-8242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 WESLEY DR",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775733633",
"telephone_number": "832-736-7376"
}
],
"practiceLocations": [
{
"address_1": "6021 Fairmont Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "TX",
"postal_code": "775054511",
"country_code": "US",
"telephone_number": "281-769-2238",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYES-MCCALLISTER",
"first_name": "MARYNNA",
"middle_name": "TYMME",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-12",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "90835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in League City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.