Andrew Kevin Reilly, AMFT, APCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

143596 Issued in CA

Practice address

25000 Avenue Stanford Ste 167
Valencia, CA 91355-4596

Phone

(818) 600-2034

Fax

(661) 667-4477

NPI assigned

Dec 12, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1740097831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7733 HAMPTON AVE APT 4",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900464778",
            "telephone_number": "310-738-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 AVENUE STANFORD STE 167",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554596",
            "telephone_number": "818-600-2034",
            "fax_number": "661-667-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "ANDREW",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "AMFT, APCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "15446",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "143596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regents of the University of California
• Regents of the University of California
• Bonnie Ann Reichers, OTR
• Bradley Mark Reid, M.D.
• Julie Ann Reid, M.D.
• Zoe Reimann, MS, CF-SLP
• Elishia Reina
• Relevo Health PC
• Ashlee Rellaford
• Renato B. Barga, M.D., Inc.

• Marriage & Family Therapist in Valencia, CA
• Providers in Valencia, 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 Dec 12, 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.