Individual provider Active NPI

David William Reuter, LPC

  • Professional Counselor
  • Eureka Springs, AR
National Provider Identifier
1558309641
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P9107011 Issued in AR
Practice address
2580 County Road 3027
Eureka Springs, AR 72632-8851
Phone
(479) 253-6917
Fax
(479) 253-4991
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P9107011 AR Primary

Addresses

Primary practice location

2580 County Road 3027
Eureka Springs, AR 72632-8851

Mailing address

2580 County Road 3027
Eureka Springs, AR 72632-8851
Phone (479) 253-6917

Other identifiers 1

IdentifierTypeStateIssuer
5W545OtherARBLUE SHIELD PROVIDER #

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

State licenses

LicenseStateTypeSpecialty
P9107011ARMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1558309641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 COUNTY ROAD 3027",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726328851",
            "telephone_number": "479-253-6917",
            "fax_number": "479-253-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 COUNTY ROAD 3027",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726328851",
            "telephone_number": "479-253-6917",
            "fax_number": "479-253-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUTER",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P9107011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "5W545",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.