Reese Lyshell Jefferson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3274 Issued in AL

Practice address

3077 Leeman Ferry Rd SW # B12
Huntsville, AL 35801-5614

Phone

(256) 203-6542

NPI assigned

Jul 15, 2014

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fame Life Coaching and Consulting

  • Mental Health Counselor
  • Huntsville, AL
  • NPI 1558826297
  NPD Authorized official

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1477960086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3077 LEEMAN FERRY RD SW STE B12",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015614",
            "telephone_number": "256-203-6542",
            "fax_number": "256-715-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3077 LEEMAN FERRY RD SW # B12",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015614",
            "telephone_number": "256-203-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "REESE",
        "middle_name": "LYSHELL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Jean, PT, DPT
• Sarah Jean, NP-C
• Kathleen Bridget Jedlovec, BSPT MSTS PCS
• Jaylyn C Jeffcoat, DPT
• Regan Nicole Jeffers, PA-C
• Jeffery Garrard, M.D., P.C.
• Jeffrey W McKee
• Amanda B Jeffreys
• Kaley McKenna Jeffreys
• Elizabeth Jean Jeffries, CRNP

• Mental Health Counselor in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.