Active NPI
Edgar Reyes
- Mental Health Counselor
- Geneva, IL
National Provider Identifier
1477329639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2172 Blackberry Dr Ste 110
Geneva, IL 60134-1103 - Phone
- (630) 313-0069
- NPI assigned
- Nov 29, 2023
- Last updated
- Nov 29, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
2172 Blackberry Dr Ste 110
Geneva, IL 60134-1103
Mailing address
508 N Lancaster Ave
Aurora, IL 60506-2801
Phone (630) 862-4043
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Path Counseling, PLLC | Mental Health | Current | Accepting new patients |
Locations
2172 Blackberry Dr
Ste 110
Geneva, IL 60134
Phone (630) 216-9767
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Geneva, IL
- NPI 1568104602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1477329639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 N LANCASTER AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605062801",
"telephone_number": "630-862-4043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2172 BLACKBERRY DR STE 110",
"city": "GENEVA",
"state": "IL",
"postal_code": "601341103",
"telephone_number": "630-313-0069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "EDGAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-29",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.