Individual provider Active NPI

Elena Danielle Reyes-Runyon, LMHC, BCBA

  • Mental Health Counselor
  • Tallahassee, FL
National Provider Identifier
1477878080
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10193 Issued in FL
Practice address
4432 Blue Bill Pass
Tallahassee, FL 32303-6936
Phone
(850) 933-0218
NPI assigned
Apr 7, 2010
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH10193 FL Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

4432 Blue Bill Pass
Tallahassee, FL 32303-6936

Mailing address

4432 Blue Bill Pass
Tallahassee, FL 32303-6936
Phone (850) 933-0218

Other practice location 1

2236 Capital Cir NE Ste 203
Tallahassee, FL 32308-8304
Phone (850) 727-4757

Other identifiers 1

IdentifierTypeStateIssuer
002065300MedicaidFL

Other names 1

  • Ms. Elena Danielle Reyes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250108000241 FL Practitioner - Mental Health Counselor 4284162017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CBT and ABA Behavioral Health LLCGroup PAC ID 0648708479, 3 clinicians

Practice addresses (Care Compare)

Tallahassee, FL 32303
Phone (850) 933-0218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH10193FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CBT & ABA Behavioral Health LLC Mental Health CurrentSince Nov 19, 2024 Accepting new patients
Honey Lake Clinic Inc Past Accepting new patients
Honey Lake Clinic Inc Past Accepting new patients
Twin Oaks Past Accepting new patients
Railey & Associates, LLC PastSince Apr 1, 2021 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1477878080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 BLUE BILL PASS",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036936",
            "telephone_number": "850-933-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 BLUE BILL PASS",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036936",
            "telephone_number": "850-933-0218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2236 Capital Cir NE Ste 203",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323088304",
            "country_code": "US",
            "telephone_number": "850-727-4757",
            "fax_number": "850-765-6298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES-RUNYON",
        "first_name": "ELENA",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "LMHC, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10193",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002065300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "REYES",
            "middle_name": "DANIELLE",
            "prefix": "MS.",
            "credential": "LMHC, BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.