Active NPI
Andrew Lee Reitenauer, M.A., M.A.T.S., BCPC
- Behavior Analyst
- Bethlehem, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1414 Pennsylvania Ave
Bethlehem, PA 18018-2017 - Phone
- (610) 866-1388
- NPI assigned
- May 6, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PA | ||
| Pastoral Counselor | 101YP1600X | PA | ||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1414 Pennsylvania Ave
Bethlehem, PA 18018-2017
Mailing address
1414 Pennsylvania Ave
Bethlehem, PA 18018-2017
Phone (610) 866-1388
Other practice location 1
421 Chew St Fl 3
Allentown, PA 18102-3406
Phone (484) 602-2733
Other practice location 2
6235 Hamilton Blvd Ste 101
Allentown, PA 18106-9698
Phone (484) 515-8753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Vine Christian Ministry | Mental Health | Current | Accepting new patients |
Locations
6235 Hamilton Blvd
Ste 101
Allentown, PA 18106
Phone (484) 515-8753
1414 Pennsylvania Ave
Bethlehem, PA 18018
Phone (610) 866-1388
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1780818690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 PENNSYLVANIA AVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180182017",
"telephone_number": "610-866-1388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 PENNSYLVANIA AVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180182017",
"telephone_number": "610-866-1388"
}
],
"practiceLocations": [
{
"address_1": "421 Chew St Fl 3",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181023406",
"country_code": "US",
"telephone_number": "484-602-2733",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6235 Hamilton Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181069698",
"country_code": "US",
"telephone_number": "484-515-8753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REITENAUER",
"first_name": "ANDREW",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "M.A., M.A.T.S., BCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-06",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.