Christie S Reynolds, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180010051 Issued in IL

Practice address

1601 W Jackson St Ste 104
Macomb, IL 61455-1901

Phone

(309) 575-3222

NPI assigned

May 6, 2022

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

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapeutic Solutions of Macomb LLCGroup PAC ID 1052854288, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Therapeutic Solutions of Macomb LLC

  • Mental Health Counselor
  • Macomb, IL
  • NPI 1477308815

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Lakeview Medical & Psychiatric Healthcare LLC

  • Psychiatry Physician
  • Macomb, IL
  • NPI 1942656749

  Single Specialty

  NPD

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1891431581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W JACKSON ST STE 104",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614551901",
            "telephone_number": "309-575-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W JACKSON ST STE 104",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614551901",
            "telephone_number": "309-575-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "CHRISTIE",
        "middle_name": "S",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regional Office of Education #26
• John F Reinert, LCPC
• Lacey Nicole Remington, SSP
• Remlo
• Max Ronald Rexroat, DPM
• Victoria Claire Richards, COTA/L
• Miranda Mae Riddle, MS., CCC-SLP
• Ronald E Rigdon, M.D.
• Cathy Elaine Rigg, MSW, LCSW
• Emily Sellers Roberts, L.C.P.C.

• Professional Counselor in Macomb, IL
• Providers in Macomb, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.