Active NPI
Lesli Rochelle Reynolds
- Professional Counselor
- Houston, TX
National Provider Identifier
1609542653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 81711
- Practice address
- 700 Milam St Ste 1300
Houston, TX 77002-2736 - Phone
- (346) 314-0104
- NPI assigned
- Aug 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 81711 | TX | Primary |
Addresses
Primary practice location
700 Milam St Ste 1300
Houston, TX 77002-2736
Mailing address
1142 S Diamond Bar Blvd Ste 834
Diamond Bar, CA 91765-2203
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
| License | State | Type | Specialty |
|---|---|---|---|
| 81711 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1609542653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1142 S DIAMOND BAR BLVD STE 834",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917652203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 MILAM ST STE 1300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770022736",
"telephone_number": "346-314-0104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "LESLI",
"middle_name": "ROCHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-19",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "81711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.