Mickey Reves, LPC INTERN
Individual provider Active NPI Professional Counselor · Albany, TX
NPI 1922345651 · NPPES record last updated Sep 10, 2026
Key facts
- NPI
- 1922345651
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 70155 (TX)
- Practice address
- 725 Pate St
Albany, TX 76430-3225 - Phone
- (325) 762-2447
- Fax
- (325) 762-2186
- NPI assigned
- Jan 15, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shackelford County Community Resource Center
Practice addresses (Care Compare)
1712 N Access Rd
Clyde, TX 79510-3352
Phone (325) 893-4010
2802 W Walker St
Breckenridge, TX 76424-4000
Phone (254) 559-7215
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260602001286 | TX | Practitioner - Mental Health Counselor | 0143791061 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70155 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shine Medical Providers PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 70155 | TX | Yes |
Addresses
Primary practice location
725 Pate St
Albany, TX 76430-3225
Mailing address
725 Pate St
Albany, TX 76430-3225
Other providers in Albany, TX
- Kay Leigh Oliver
- Sterlynn Chelz Patterson
- Tanya Lanay Petree
- Phyllis K. Curry L.L.C.
- Diana Lee Price
- Sander'S Drug Store
- Shackelford County Community Resource Center
- Shackelford County Community Resource Center
- Shackelford County Health Clinic
- Shackelford County Hospital District
All providers in Albany, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.