Individual provider Active NPI

Lourdes Reyes

  • Mental Health Counselor
  • Vero Beach, FL
National Provider Identifier
1891232427
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1910 82ND Ave Ste 106
Vero Beach, FL 32966-6991
Phone
(772) 492-9841
NPI assigned
Jan 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1910 82ND Ave Ste 106
Vero Beach, FL 32966-6991

Mailing address

1910 82ND Ave Ste 106
Vero Beach, FL 32966-6991
Phone (772) 492-9841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240122003262 OR Practitioner - Mental Health Counselor 3375995772 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - Oregon LLC Mental Health CurrentSince Sep 22, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Sokyahealth Medical Group PC Mental Health CurrentSince Jan 9, 2024 Accepting new patients
Suncoast Mental Health Center, Inc. Past Accepting new patients

Locations

700 NE Multnomah St
Ste 870
Portland, OR 97232
Phone (503) 238-5559

8555 SW Apple Way
Ste 320
Portland, OR 97225
Phone (503) 298-4592

9735 SW Shady Ln
Ste 304
Tigard, OR 97223
Phone (503) 204-0682

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Interoperability endpoints

  • Direct secure messaging: lourdes.reyes.p1@direct.sokya.nextgenshare.com
  • Direct secure messaging: lourdesreyes@tdh.allscriptsdirect.net

Organizations & group practices 4

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": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1891232427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 82ND AVE STE 106",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329666991",
            "telephone_number": "772-492-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 82ND AVE STE 106",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329666991",
            "telephone_number": "772-492-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "LOURDES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.