Individual provider Active NPI

Adriana Alicia Reyes, LMFT

  • Marriage & Family Therapist
  • Ceres, CA
National Provider Identifier
1891155479
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
152962 Issued in CA
Practice address
1904 Richland Ave Ste C2
Ceres, CA 95307-4562
Phone
(209) 525-5079
NPI assigned
Feb 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 152962 CA Primary

Addresses

Primary practice location

1904 Richland Ave Ste C2
Ceres, CA 95307-4562

Mailing address

1904 Richland Ave Ste C
Ceres, CA 95307-4562
Phone (209) 525-5079

Other identifiers 1

IdentifierTypeStateIssuer
1891155479MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20250528003465 CA Practitioner - Marriage and Family Therapist 5698294031 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
152962CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Stanislaus Current Accepting new patients
County of Stanislaus CurrentSince Mar 16, 2025 Accepting new patients
County of Stanislaus CurrentSince Mar 16, 2025 Accepting new patients
County of Stanislaus Current Accepting new patients
County of Stanislaus CurrentSince Mar 16, 2025 Accepting new patients

Locations

1904 Richland Ave
Ste C
Ceres, CA 95307
Phone (209) 525-5079

1904 Richland Ave
Bldg F
Ceres, CA 95307
Phone (209) 525-7444

1904 Richland Ave
Ste C2
Ceres, CA 95307
Phone (209) 525-5079

500 N 9th St
Ste A
Modesto, CA 95350
Phone (209) 525-5300

500 N 9th St
Ste B
Modesto, CA 95350
Phone (209) 341-1824

2101 Geer Rd
Ste 120
Turlock, CA 95382
Phone (209) 558-4598

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1891155479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 RICHLAND AVE STE C",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953074562",
            "telephone_number": "209-525-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 RICHLAND AVE STE C2",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953074562",
            "telephone_number": "209-525-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ADRIANA",
        "middle_name": "ALICIA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "152962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891155479",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ceres, CA

Sources for this page

Verify at the official NPI Registry.