Individual provider Active NPI

Anthony L Reichmuth

  • Peer Specialist
  • Grass Valley, CA
National Provider Identifier
1952972069
Registry record updated Dec 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-VURWPG Issued in CA
Practice address
16573 Auburn Rd
Grass Valley, CA 95949-8762
Phone
(530) 273-0631
NPI assigned
Jul 9, 2021
Last updated
Dec 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Counselor 101Y00000X
Peer Specialist 175T00000X MPSS-VURWPG CA Primary

Addresses

Primary practice location

16573 Auburn Rd
Grass Valley, CA 95949-8762

Mailing address

16573 Auburn Rd
Grass Valley, CA 95949-8762
Phone (530) 273-0631

Other practice location 1

500 Crown Point Cir Ste 120
Grass Valley, CA 95945-9561
Phone (408) 835-9903

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
MPSS-VURWPGCAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Respite Center CurrentSince Aug 1, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734825600000",
    "number": "1952972069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16573 AUBURN RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959498762",
            "telephone_number": "530-273-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16573 AUBURN RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959498762",
            "telephone_number": "530-273-0631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Crown Point Cir Ste 120",
            "address_purpose": "LOCATION",
            "city": "Grass Valley",
            "state": "CA",
            "postal_code": "959459561",
            "country_code": "US",
            "telephone_number": "408-835-9903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REICHMUTH",
        "first_name": "ANTHONY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-09",
        "last_updated": "2024-12-22",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-VURWPG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.