Aaron Joseph Reinicke, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LMFT25792 Issued in CA

Practice address

2333 Camino del Rio S Ste 250
San Diego, CA 92108-3616

Phone

(619) 987-6174

Fax

(619) 298-5235

NPI assigned

Sep 26, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

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.

• Lifespring Center

  • Social Worker
  • San Diego, CA
  • NPI 1447466685
  NPD (past) Authorized official
• Reinicke Counseling Associates

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1619183845
  NPD (past)

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1740765759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 CAMINO DEL RIO S STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083616",
            "telephone_number": "619-987-6174",
            "fax_number": "619-298-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 CAMINO DEL RIO S STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083616",
            "telephone_number": "619-987-6174",
            "fax_number": "619-298-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINICKE",
        "first_name": "AARON",
        "middle_name": "JOSEPH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-26",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LMFT25792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE AND FAMILY THERAPY PRACTICE",
            "identifier": "1619183845",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Edward Reinfeldt, PT, DPT, CSCS
• Hannah R Reinhard, BCBA
• Renee Reinhardt
• Olivia Reinhold
• Reinicke Counseling Associates
• Melinda Reinicke
• Kara Ann Reinke
• Shay Reinke, DO
• Caryl Sue Reinsch, MD
• Ronald C. Reinsch, MD

• Professional Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.