Rebecca Reyes

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

59581 Issued in CA

Practice address

555 Hospital LN
Susanville, CA 96130-4808

Phone

(530) 251-8108

Fax

(530) 251-8954

NPI assigned

Jun 18, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Clements Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1811301732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 HOSPITAL LN",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961304808",
            "telephone_number": "530-251-8108",
            "fax_number": "530-251-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HOSPITAL LN",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961304808",
            "telephone_number": "530-251-8108",
            "fax_number": "530-251-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "59581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "CLEMENTS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Naomi L Rea, FNP/CNM
• Karen Lee Ready
• Raelynn Reed, PA-C
• Bradley Earl Reger, FNP
• Reno Vamc
• Riaz Medical Group Inc
• Richard Elbert Riddle, PH.D.
• Rite Aid
• Debbie Ann Rives, MSW
• Charlotte Roberts

• Mental Health Counselor in Susanville, CA
• Providers in Susanville, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.