Brooke Reynolds, MHC-LP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P131553 Issued in NY

Practice address

404 Zena Rd Ste 2
Woodstock, NY 12498-2627

Phone

(845) 315-7902

NPI assigned

Oct 21, 2024

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

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1710708946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 ZENA RD STE 2",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124982627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 ZENA RD STE 2",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124982627",
            "telephone_number": "845-315-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "BROOKE",
        "credential": "MHC-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P131553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiant Roots Physical Therapy, PLLC
• John Dyson Raffaele, LMSW
• Denise Marie Ranaghan, LMHC
• Stephan Jay Rechtschaffen, MD
• Samuel Redmond
• Margaretmary Cliggett Reynolds, LMHC
• Cinnamon Rinzler, P.A.
• Barbara Rissman, MSW
• Randall Rissman, M.D.
• Heather Roberts, PT

• Mental Health Counselor in Woodstock, NY
• Providers in Woodstock, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.