Individual provider Active NPI

Marynna Tymme Reyes-McCallister, LPC

  • Counselor
  • League City, TX
National Provider Identifier
1427732486
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
90835 Issued in TX
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

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
90835TXMDCounselor

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.

Verify at the official NPI Registry.