Reynol Junco, D.ED., LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

10001676 Issued in MA

Practice address

97 Lowell Rd
Concord, MA 01742-1733

Phone

(978) 402-6937

NPI assigned

Jan 22, 2024

Last updated

Apr 19, 2024By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 18, 2024 through Jun 18, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Education

State licenses

Practice roles

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.

• Concord Counseling Associates

  • Counselor
  • Concord, MA
  • NPI 1871452573
  NPD Authorized official

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1609637123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 LOWELL RD",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017421733",
            "telephone_number": "978-402-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 LOWELL RD",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017421733",
            "telephone_number": "978-402-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNCO",
        "first_name": "REYNOL",
        "name_prefix": "Dr.",
        "credential": "D.ED., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC002458",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "10001676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lauren Beth Kadesh
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• Counselor in Concord, MA
• Providers in Concord, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.