Individual provider Active NPI

Garibaldi Reyes

  • Pastoral Counselor
  • Orlando, FL
National Provider Identifier
1548995780
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Practice address
1090 Chatham Break St
Orlando, FL 32828-6859
Phone
(973) 262-1730
NPI assigned
Jul 21, 2022
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Pastoral Counselor 101YP1600X NU Primary

Addresses

Primary practice location

1090 Chatham Break St
Orlando, FL 32828-6859

Mailing address

1090 Chatham Break St
Orlando, FL 32828-6859
Phone (973) 262-1730

Other names 1

  • Mr. Garibaldi Reyes Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address garibaldi@21daymindsetchallenge.com Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1548995780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 CHATHAM BREAK ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286859",
            "telephone_number": "973-262-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 CHATHAM BREAK ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286859",
            "telephone_number": "973-262-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "GARIBALDI",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "garibaldi@21daymindsetchallenge.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "garibaldi@21daymindsetchallenge.com",
            "address_1": "1090 Chatham Break St",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328286859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GARIBALDI",
            "last_name": "REYES",
            "prefix": "MR.",
            "credential": "GARIBALDI REYES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.