Individual provider Active NPI

Maureen Reid, MA, LPC, NCC

  • Mental Health Counselor
  • Monroe Township, PA
National Provider Identifier
1831653633
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC012734 Issued in PA
Practice address
1145 Butternut Hill Rd
Monroe Township, PA 18636-8010
Phone
(570) 406-4454
Fax
(570) 406-4454
NPI assigned
Jan 25, 2019
Last updated
Aug 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Mental Health Counselor 101YM0800X PC012734 PA Primary

Addresses

Primary practice location

1145 Butternut Hill Rd
Monroe Township, PA 18636-8010

Mailing address

1145 Butternut Hill Rd
Monroe Township, PA 18636-8010
Phone (570) 406-4454

Other practice location 1

1 Kim Ave Ste 1
Tunkhannock, PA 18657-9101
Phone (570) 240-4774

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

State licenses

LicenseStateTypeSpecialty
PC012734PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1831653633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 BUTTERNUT HILL RD",
            "city": "MONROE TOWNSHIP",
            "state": "PA",
            "postal_code": "186368010",
            "telephone_number": "570-406-4454",
            "fax_number": "570-406-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 BUTTERNUT HILL RD",
            "city": "MONROE TOWNSHIP",
            "state": "PA",
            "postal_code": "186368010",
            "telephone_number": "570-406-4454",
            "fax_number": "570-406-4454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Kim Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Tunkhannock",
            "state": "PA",
            "postal_code": "186579101",
            "country_code": "US",
            "telephone_number": "570-240-4774",
            "fax_number": "570-836-6888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "MAUREEN",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC012734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.