Active NPI
Enrique E. Reyes, PHD, LPC, LMFT
- Counselor
- El Paso, TX
National Provider Identifier
1811048796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 5037
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026058001 | Medicaid | TX | |
| 5037 | Other | TX | CRIME VICTIMS COMP |
| 3419LC | Other | TX | BC 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5037 | TX | MD | Counselor |
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.