Active NPI
Antonio Reyna, MA
- Counselor
- Renton, WA
National Provider Identifier
1851087761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- HP61378211
- Practice address
- 17650 134TH Ave SE Apt E302
Renton, WA 98058-6899 - Phone
- (253) 293-5085
- NPI assigned
- Apr 13, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | HP61378211 | WA | Primary |
Addresses
Primary practice location
17650 134TH Ave SE Apt E302
Renton, WA 98058-6899
Mailing address
17650 134TH Ave SE Apt E302
Renton, WA 98058-6899
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
| License | State | Type | Specialty |
|---|---|---|---|
| HP61378211 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1851087761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17650 134TH AVE SE APT E302",
"city": "RENTON",
"state": "WA",
"postal_code": "980586899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17650 134TH AVE SE APT E302",
"city": "RENTON",
"state": "WA",
"postal_code": "980586899",
"telephone_number": "253-293-5085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNA",
"first_name": "ANTONIO",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-13",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "HP61378211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
- Retina Institute of Washington PLLC
- Retina Institute, PLLC (Retina Institute of Washington)
- Kreed Revere
- Eunice Margarita Reyes-Diaz, MA
- Reyjines Haven Afh LLC
- Robert Reynolds
- Sabrina Lynn Reynolds, LMP
- Nicholas M Rezek, PA C
- Peter C. Rhee, PA-C
- Rhema Aesthetics and Wellness PLLC (Rhema Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.