Active NPI
Shirley D Reynolds, LMFT
- Marriage & Family Therapist
- Loveland, CO
National Provider Identifier
1710311238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 995
- Practice address
- 2203 Taft Ave
Loveland, CO 80538-3119 - Phone
- (970) 646-5487
- NPI assigned
- Sep 3, 2013
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 995 | CO | Primary |
Addresses
Primary practice location
2203 Taft Ave
Loveland, CO 80538-3119
Mailing address
2203 Taft Ave
Loveland, CO 80538-3119
Phone (970) 646-5487
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 |
|---|---|---|---|
| 995 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1710311238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2203 TAFT AVE",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805383119",
"telephone_number": "970-646-5487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2203 TAFT AVE",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805383119",
"telephone_number": "970-646-5487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "SHIRLEY",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-03",
"last_updated": "2024-07-31",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.