Active NPI
Angel Reeves, LMFT, IMH-E
- Marriage & Family Therapist
- Cottage Grove, OR
National Provider Identifier
1457712432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T1702
- Practice address
- 210 S 5TH St
Cottage Grove, OR 97424-2105 - Phone
- (541) 337-1483
- NPI assigned
- Mar 17, 2016
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T1702 | OR | Primary |
Addresses
Primary practice location
210 S 5TH St
Cottage Grove, OR 97424-2105
Mailing address
421 E Washington Ave
Cottage Grove, OR 97424-2060
Phone (541) 337-1483
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 |
|---|---|---|---|
| T1702 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1457712432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 E WASHINGTON AVE",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "974242060",
"telephone_number": "541-337-1483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S 5TH ST",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "974242105",
"telephone_number": "541-337-1483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "ANGEL",
"credential": "LMFT, IMH-E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-17",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T1702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottage Grove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.