Active NPI
MTBM Global Rehabilitation
- Counselor
- Conyers, GA
National Provider Identifier
1457520660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 4592
- Legal business name
- MTBM GLOBAL REHABILITATION
- Practice address
- 2890A Ga Hwy 212
Suite 239
Conyers, GA 30094 - Phone
- (770) 987-7414
- Fax
- (770) 987-3106
- NPI assigned
- Feb 22, 2008
- Last updated
- May 15, 2013
- Organization subpart
- Yes
- Parent organization
- MTBM GLOBAL REHABILITATION CONSULTANTS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Silvio S Reyes, PHD
- Title
- Licensed Professional Counselor
- Phone
- (770) 987-7414
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4592 | GA | Primary |
Addresses
Primary practice location
2890A Ga Hwy 212
Suite 239
Conyers, GA 30094
Mailing address
2890A Ga Hwy 212
Suite 239
Conyers, GA 30094
Phone (770) 987-7414
National Provider Directory
National Provider Directory- Part of
- MTBM Global Rehabilitation
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Decatur, GA
- NPI 1164081279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368576000000",
"number": "1457520660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2890A GA HWY 212",
"address_2": "SUITE 239",
"city": "CONYERS",
"state": "GA",
"postal_code": "30094",
"telephone_number": "770-987-7414",
"fax_number": "770-987-3106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2890A GA HWY 212",
"address_2": "SUITE 239",
"city": "CONYERS",
"state": "GA",
"postal_code": "30094",
"telephone_number": "770-987-7414",
"fax_number": "770-987-3106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MTBM GLOBAL REHABILITATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MTBM GLOBAL REHABILITATION CONSULTANTS",
"enumeration_date": "2008-02-22",
"last_updated": "2013-05-15",
"status": "A",
"authorized_official_last_name": "REYES",
"authorized_official_first_name": "SILVIO",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "770-987-7414",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "GA",
"license": "4592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.