Autumn Ilene Reynolds

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF 85580 Issued in CA

Practice address

5750 Sunrise Blvd
Citrus Heights, CA 95610-7634

Phone

(916) 344-0249

NPI assigned

Aug 4, 2010

Sex

Female

Sole proprietor

No

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

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.

• Terra Nova Counseling

  • Community/Behavioral Health Agency
  • Citrus Heights, CA
  • NPI 1174055206
  NPD (past)
• Terra Nova Counseling

  • Public Health or Welfare Agency
  • Citrus Heights, CA
  • NPI 1386889863
  NPD (past)

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1699089359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 SUNRISE BLVD",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107634",
            "telephone_number": "916-344-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 SUNRISE BLVD",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107634",
            "telephone_number": "916-344-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "AUTUMN",
        "middle_name": "ILENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 85580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Ward Reiners, MHA I, MHW (MHTC)
• Kelia Remson
• Lindsey Renshaw
• Melanie Hope Revell, LVN
• Maria D Reyes
• Alney B Rhoades, MFT
• Rebecca Rice
• Lori Susanne Rich
• Richard a Behl DDS Inc
• Jason Court Richey

• Marriage & Family Therapist in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.