Individual provider Active NPI

Enrique E. Reyes, PHD, LPC, LMFT

  • Counselor
  • El Paso, TX
National Provider Identifier
1811048796
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
5037 Issued in TX
Practice address
4700 N. Mesa
Suite F-4
El Paso, TX 79912-6187
Phone
(915) 544-6586
Fax
(915) 544-6004
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 5037 TX Primary
Marriage & Family Therapist 106H00000X 2373 TX

Addresses

Primary practice location

4700 N. Mesa
Suite F-4
El Paso, TX 79912-6187

Mailing address

4700 N. Mesa
Suite F-4
El Paso, TX 79912-6187
Phone (915) 544-6586

Other identifiers 3

IdentifierTypeStateIssuer
026058001MedicaidTX
5037OtherTXCRIME VICTIMS COMP
3419LCOtherTXBC BS

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5037TXMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1811048796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N. MESA",
            "address_2": "SUITE F-4",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126187",
            "telephone_number": "915-544-6586",
            "fax_number": "915-544-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N. MESA",
            "address_2": "SUITE F-4",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126187",
            "telephone_number": "915-544-6586",
            "fax_number": "915-544-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ENRIQUE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "5037",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "2373",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026058001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS COMP",
            "identifier": "5037",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "3419LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.