Cynthia L Reetz, M.A., L.C.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.008594 Issued in IL

Practice address

2150 Manchester Rd Ste 110
Wheaton, IL 60187

Phone

(630) 752-9874

Fax

(630) 752-9875

NPI assigned

Apr 30, 2009

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

• Cynthia L Bailey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Willow Clinical Services, LLC

  • Mental Health Counselor
  • Wheaton, IL
  • NPI 1124519764
  NPD Authorized official

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1952545295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 MANCHESTER RD STE 110",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872474",
            "telephone_number": "630-752-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 MANCHESTER RD STE 110",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60187",
            "telephone_number": "630-752-9874",
            "fax_number": "630-752-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REETZ",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.A., L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-30",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "BAILEY",
            "middle_name": "L",
            "credential": "MA, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shilpa Gillella Reddy, MD
• Raymond J Redelman, MA LFMT
• Darlesia Brianna Redmond
• Seprina Redmond
• Natalie Reed
• James Regaldo
• Rehab Medicine Clinic
• Rehab Ready Consultants LLC
• Rehabilitation Medicine Clinic, Inc.
• Rehabilitation Medicine Clinic, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.