Individual provider Active NPI

Janet Reynoso, ACSW

  • Clinical Social Worker
  • Escondido, CA
National Provider Identifier
1942746359
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120540 Issued in CA
Practice address
910 Del Dios Rd Apt 87
Escondido, CA 92029-2250
Phone
(209) 345-0708
NPI assigned
Jan 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X 81056 CA
Professional Counselor 101YP2500X
Clinical Social Worker 1041C0700X CA
Clinical Social Worker 1041C0700X 120540 CA Primary

Addresses

Primary practice location

910 Del Dios Rd Apt 87
Escondido, CA 92029-2250

Mailing address

910 Del Dios Rd Apt 87
Escondido, CA 92029-2250
Phone (209) 345-0708

Other practice location 1

1341 N Escondido Blvd
Escondido, CA 92026-2507
Phone (760) 546-2007

Other practice location 2

2934 N Fresno St
Fresno, CA 93703-1123
Phone (559) 549-6697

Other practice location 3

2855 Geer Rd
Turlock, CA 95382
Phone (209) 668-9163 ext. 317

Other practice location 4

916 McHenry Ave
Modesto, CA 95350-5417
Phone (209) 550-5850 ext. 317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
81056CAMDMental Health Counselor
120540CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Central Star Behavioral Health, Inc. PastSince Nov 1, 2020 Accepting new patients
Healthright 360 PastSince Sep 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1942746359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 DEL DIOS RD APT 87",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920292250",
            "telephone_number": "209-345-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 DEL DIOS RD APT 87",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920292250",
            "telephone_number": "209-345-0708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1341 N Escondido Blvd",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920262507",
            "country_code": "US",
            "telephone_number": "760-546-2007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2934 N Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031123",
            "country_code": "US",
            "telephone_number": "559-549-6697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2855 Geer Rd",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "95382",
            "country_code": "US",
            "telephone_number": "209-668-9163 x317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "916 McHenry Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953505417",
            "country_code": "US",
            "telephone_number": "209-550-5850 x317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOSO",
        "first_name": "JANET",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "81056",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "120540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.