Individual provider Active NPI

Jeff C Reed, MSW

  • Counselor
  • Phoenix, AZ
National Provider Identifier
1679709646
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LMSW - 12733 Issued in AZ
Practice address
4620 N 16TH St
Suite E-110
Phoenix, AZ 85016-5121
Phone
(602) 264-2770
Fax
(866) 534-1701
NPI assigned
Jun 4, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LMSW - 12733 AZ Primary

Addresses

Primary practice location

4620 N 16TH St
Suite E-110
Phoenix, AZ 85016-5121

Mailing address

4620 N 16TH St
Suite E-110
Phoenix, AZ 85016-5121
Phone (602) 264-2770

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

LicenseStateTypeSpecialty
LMSW - 12733AZMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1679709646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 N 16TH ST",
            "address_2": "SUITE E-110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165121",
            "telephone_number": "602-264-2770",
            "fax_number": "866-534-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 N 16TH ST",
            "address_2": "SUITE E-110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165121",
            "telephone_number": "602-264-2770",
            "fax_number": "866-534-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JEFF",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LMSW - 12733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.