Shanda M Reynolds, LMHC, ED.D

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7098 Issued in MA

Practice address

158 Maple St Apt a
Springfield, MA 01105-2638

Phone

(413) 636-2872

Fax

(844) 294-9214

NPI assigned

Jun 28, 2012

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

• Shanda Lazare Former name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1871857367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 PLEASANT ST # 248",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021484904",
            "telephone_number": "413-486-0337",
            "fax_number": "844-294-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 MAPLE ST APT A",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011052638",
            "telephone_number": "413-636-2872",
            "fax_number": "844-294-9214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92 Race St",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "010405854",
            "country_code": "US",
            "telephone_number": "413-486-0337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SHANDA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LMHC, ED.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANDA",
            "last_name": "LAZARE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria De Lourdes Reyes
• Marisol Reyes
• Wendelin K. Reymond, MD
• Jennifer Reynolds
• Jennifer Anne Reynolds
• Omar Reza, RPH
• Rhapsody Behavioral Healthcare Services
• Rhapsody Healthcare Services
• Sang W Rhee, M.D.
• Rheumatology Associates PC

• Mental Health Counselor in Springfield, MA
• Providers in Springfield, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.