Active NPI
Faith Joleen Reyes, LMFT
- Marriage & Family Therapist
- Los Gatos, CA
National Provider Identifier
1629436449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 106204
- Practice address
- 334 Village LN
Los Gatos, CA 95030-7218 - Phone
- (916) 320-6552
- NPI assigned
- Feb 8, 2016
- Last updated
- Feb 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Marriage & Family Therapist | 106H00000X | 106204 | CA | Primary |
Addresses
Primary practice location
334 Village LN
Los Gatos, CA 95030-7218
Mailing address
468 N. Camden Dr
Ste 200 , # 96198
Beverly Hills, CA 90210-3225
Other practice location 1
8730 Wilshire Blvd Ste 200
Beverly Hills, CA 90211-2781
Phone (916) 320-6552
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 |
|---|---|---|---|
| 106204 | CA | MD | Dentist |
Interoperability endpoints
- lifestancehealth.faithreyes@148377.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1629436449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "468 N. CAMDEN DR",
"address_2": "STE 200 , # 96198",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902103225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 VILLAGE LN",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950307218",
"telephone_number": "916-320-6552"
}
],
"practiceLocations": [
{
"address_1": "8730 Wilshire Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Beverly Hills",
"state": "CA",
"postal_code": "902112781",
"country_code": "US",
"telephone_number": "916-320-6552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYES",
"first_name": "FAITH",
"middle_name": "JOLEEN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-08",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "106204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.