Reeva Mental and Behavioral Health

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REEVA MENTAL AND BEHAVIORAL HEALTH

Practice address

3609 Austin Bluffs Pkwy
Ste 31 -1195
Colorado Springs, CO 80918

Phone

(719) 394-8700

NPI assigned

Apr 8, 2024

Last updated

Apr 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tina Marie Jordan, LPCNPI 1982281481

Title

Owner

Phone

(719) 394-8700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tina Marie Jordan, LPC, RPT

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1982281481

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1487407847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7661 MCLAUGHLIN RD # 415",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314727",
            "telephone_number": "719-394-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 AUSTIN BLUFFS PKWY",
            "address_2": "STE 31 -1195",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80918",
            "telephone_number": "719-394-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEVA MENTAL AND BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-394-8700",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Reese, MA, LPC, NCC
• Nyla Reese
• Sheila Reese
• Tava Reese, LMT, CNMT
• Roberta Anne Reetz
• Craig W. Reeves, DC
• Rebecca Dawn Reeves, PA C
• Robert Hood Reeves, M.D.
• Vivica Reeves
• Reflective Waters Counseling LLC

• Mental Health Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.