Active NPI
Henrietta M Reynolds, LPC
- Mental Health Counselor
- Holland, PA
National Provider Identifier
1679659676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC000973
- Practice address
- 3184 Burnley Place
Alpha Therapeutic Counseling Inc
Holland, PA 18966-2902 - Phone
- (215) 504-9423
- Fax
- (215) 504-1399
- NPI assigned
- Oct 31, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC000973 | PA | Primary |
Addresses
Primary practice location
3184 Burnley Place
Alpha Therapeutic Counseling Inc
Holland, PA 18966-2902
Mailing address
3184 Burnley Place
Alpha Therapeutic Counseling Inc
Holland, PA 18966
Phone (215) 504-9423
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 |
|---|---|---|---|
| PC000973 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service Association of Bucks County | Past | Accepting new patients | |
| Alpha Therapeutic Counseling Inc | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Holland, PA
- NPI 1821174822
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Langhorne, PA
- NPI 1144329111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679659676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3184 BURNLEY PLACE",
"address_2": "ALPHA THERAPEUTIC COUNSELING INC",
"city": "HOLLAND",
"state": "PA",
"postal_code": "18966",
"telephone_number": "215-504-9423",
"fax_number": "215-504-1399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3184 BURNLEY PLACE",
"address_2": "ALPHA THERAPEUTIC COUNSELING INC",
"city": "HOLLAND",
"state": "PA",
"postal_code": "189662902",
"telephone_number": "215-504-9423",
"fax_number": "215-504-1399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "HENRIETTA",
"middle_name": "M",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC000973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.