Bret Leon Reynolds

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

245 Inger Dr
Suite 103/B
Santa Maria, CA 93454-8669

Phone

(805) 357-5902

NPI assigned

May 17, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1477813921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N 10TH ST",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332140",
            "telephone_number": "805-710-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 INGER DR",
            "address_2": "SUITE 103/B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548669",
            "telephone_number": "805-357-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "BRET",
        "middle_name": "LEON",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalia Erica Reyes Cortes
• Elizabeth M. Reyes-Velazquez
• Jenna Reyes
• Natalie Rose Mendoza Reyes
• Sol J Reyes, D.D.S.
• Dan Reynolds
• Debra Reynolds
• Melanie Marie Reynolds
• Julia Kaohe Reynoso, LMFT
• Megan Love Reynoso, LCSW

• Addiction (Substance Use Disorder) Counselor in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.