Sandra Sue Reynolds, MA,LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401011458 Issued in MI

Practice address

101 Spring St
Hillsdale, MI 49242-1160

Phone

(517) 437-0114

Fax

(517) 782-6446

NPI assigned

Jul 12, 2016

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

Credentials

Master of Arts

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.

• Segue Inc

  • Adult Mental Health Clinic/Center
  • Jackson, MI
  • NPI 1174634315
  NPD (past)

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1750733804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E MICHIGAN AVE STE 101",
            "address_2": "P.O. 6159",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023765",
            "telephone_number": "517-783-3434",
            "fax_number": "517-782-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SPRING ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421160",
            "telephone_number": "517-437-0114",
            "fax_number": "517-782-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SANDRA",
        "middle_name": "SUE",
        "credential": "MA,LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401011458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ray, PT, DPT
• Reading Emergency Unit #1, Inc
• Thomas Leslie Reed, FNP-C
• Renee Batt Counseling LLC
• Amber Mariah Reynolds, LMSW
• Mark Ellis Rich, N.C.T.M.B.
• Rite Aid of Michigan Inc
• Eugene D Rohacz, DPMPC
• Melissa Ann Rohraff
• Olivia Paige Rowe

• Mental Health Counselor in Hillsdale, MI
• Providers in Hillsdale, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.