Kelly Elizabeth Reynolds, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH16556 Issued in FL

Practice address

5830 SW 89TH PL
Ocala, FL 34476-7701

Phone

(352) 598-5652

NPI assigned

Oct 20, 2015

Last updated

May 20, 2019By the provider in NPPES

Sex

Female

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Habit Opco, LLC

  dba Habit OPCO- Springfield

  • Methadone Clinic
  • Springfield, MA
  • NPI 1023175072
  NPD (past)
• Habit Opco, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fitchburg, MA
  • NPI 1255034880
  NPD (past)

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1750752572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CIRCLE OF PROGRESS DR",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643811",
            "telephone_number": "610-970-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 SW 89TH PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344767701",
            "telephone_number": "352-598-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Reyes
• Kyliene Reyes, APRN
• Andres E Reyna, PT, DPT
• Amy Elizabeth Reynolds, L.M.
• Craig Harry Reynolds, M.D.
• Shannon Michele Reynolds, APRN
• Shantoria Laytaveus Reynolds, RBT
• Stephen Reynolds, DO
• Tonya Rezmer
• Rezpar Enterprises, Inc. (Institute4Wellness)

• Mental Health Counselor in Ocala, FL
• Providers in Ocala, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.