Julie Reynolds, LCPC, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6691 Issued in ID

Practice address

112 W 4TH St Ste 5
Moscow, ID 83843-4311

Phone

(210) 685-8974

Fax

(208) 883-4845

NPI assigned

Jul 27, 2015

Last updated

Dec 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Mental Health Counselor

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Julie a Reynolds LLC

  • Counselor
  • Moscow, ID
  • NPI 1962273870

  Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1578948980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E 5TH ST UNIT 8083",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432943",
            "telephone_number": "210-685-8974",
            "fax_number": "208-883-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W 4TH ST STE 5",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838434311",
            "telephone_number": "210-685-8974",
            "fax_number": "208-883-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JULIE",
        "name_prefix": "Ms.",
        "credential": "LCPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60671311",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "6691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regents of the University of Idaho Child & Youth Study Center (Child & Youth Study Center)
• Timothy Scott Rehnberg, PH.D.
• Christin S Reisenauer, MD
• Steven C Reitz, CRNA
• Chris Palmer Renggli
• Lori Reynolds
• Belinda Rhodes, LMT
• Matthew Rice, DO
• Mindy Rice, RDN, LD
• Laura C Richards, PH.D.

• Professional Counselor in Moscow, ID
• Providers in Moscow, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.