Emily Reynoso

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.011148 Issued in IL

Practice address

3336 N Avers Ave # 2
Chicago, IL 60618-5204

Phone

(773) 809-3396

NPI assigned

Nov 19, 2017

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

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.

• E Reynoso Counseling LLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1508632712
  NPD Authorized official

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

{
    "created_epoch": "1511049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1689188260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 N AVERS AVE # 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 N AVERS AVE # 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185204",
            "telephone_number": "773-809-3396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4611 N Ravenswood Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606407564",
            "country_code": "US",
            "telephone_number": "773-809-3396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOSO",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.011148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Helen Reynolds
• Virginia Reynolds, LCPC 180 007 760
• Edgar Manuel Reynoso Vanderhorst, M.D.
• Christopher Jesus Reynoso
• Diego Paul Reynoso, M.D.
• Juan Reynoso Jr., M.D.
• Victoria Reynoso
• Karen Rezabek, MMSC, RD, LDN
• Rachel Ann Rezabek, MD
• Katayoun Rezai, M.D.

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.