Reagan Reese Powell, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC009846 Issued in GA

Practice address

135 Goshen Road Ext Ste 256
Rincon, GA 31326-5575

Phone

(912) 421-1000

Fax

(912) 421-1189

NPI assigned

May 2, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 15, 2024 through Feb 15, 2028

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Vitality Counseling, Inc

  • Professional Counselor
  • Rincon, GA
  • NPI 1437657160
  NPD Authorized official

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1659726255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GOSHEN ROAD EXT STE 256",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265575",
            "telephone_number": "912-421-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 GOSHEN ROAD EXT STE 256",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265575",
            "telephone_number": "912-421-1000",
            "fax_number": "912-421-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "REAGAN",
        "middle_name": "REESE",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinnacle Plastic Surgery Associates LLC
• Pinnacle Plastic Surgery Associates LLC
• Jordan Smith Piros, PTA
• Lucas J Policastro, MD
• Kaiya Powell
• Melody A Presson
• Thomas A Presson
• Dent W. Purcell, M.D.
• Quick RX Drugs Inc
• Daniel Franklin Reames, O.D.

• Professional Counselor in Rincon, GA
• Providers in Rincon, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.