Individual provider Active NPI

Brittany Sandyell Reynolds, CIT

  • Addiction (Substance Use Disorder) Counselor
  • Monroe, LA
National Provider Identifier
1851020689
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CIT-5455 Issued in LA
Practice address
201 Morris Ave # 71202
Monroe, LA 71202-2067
Phone
(318) 600-3962
Fax
(318) 816-5514
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X CIT-5455 LA Primary

Addresses

Primary practice location

201 Morris Ave # 71202
Monroe, LA 71202-2067

Mailing address

201 Morris Ave
Monroe, LA 71202-2067
Phone (318) 600-3962

Other practice location 1

3217 Concordia Ave
Monroe, LA 71201-5131
Phone (318) 600-6323

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

State licenses

LicenseStateTypeSpecialty
CIT-5455LAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Behavioral and Youth Development LLC PastSince Aug 7, 2022 Accepting new patients
Good News Counseling Case Manager/Care Coordinator PastSince Jun 1, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1851020689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MORRIS AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712022067",
            "telephone_number": "318-600-3962",
            "fax_number": "318-816-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MORRIS AVE # 71202",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712022067",
            "telephone_number": "318-600-3962",
            "fax_number": "318-816-5514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3217 Concordia Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712015131",
            "country_code": "US",
            "telephone_number": "318-600-6323",
            "fax_number": "318-570-5153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "BRITTANY",
        "middle_name": "SANDYELL",
        "credential": "CIT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "CIT-5455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.