Laura Alicia Reategui, MS, APCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

19578 Issued in CA

Practice address

1666 Precision Park LN
San Ysidro, CA 92173-1346

Phone

(619) 662-4100

NPI assigned

Jun 13, 2025

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

• Laura Alicia Reyes Banuet Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1912893488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 PALM AVE # D-352",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541760",
            "telephone_number": "619-587-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 PRECISION PARK LN",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921731346",
            "telephone_number": "619-662-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REATEGUI",
        "first_name": "LAURA",
        "middle_name": "ALICIA",
        "credential": "MS, APCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "19578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "REYES BANUET",
            "middle_name": "ALICIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Warren Edwin Quigley, PHARMACIST
• Sofia H Qureshi, M.D.
• Negin Rajaipour, M.D.
• Denise Ramos
• Rapid Courier Services Corp
• Nicole Renteria, RN
• Valerie Ann Reyes Gaurano, PHARM.D
• Erika Andrea Reyes, RDH
• Armando Reynoso
• Elizabeth Rios, DDS

• Professional Counselor in San Ysidro, CA
• Providers in San Ysidro, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.