Julie a Reynolds LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

JULIE A REYNOLDS LLC

Practice address

112 W 4TH St Ste 5
Moscow, ID 83843-4311

Phone

(210) 685-8974

Fax

(208) 883-4845

NPI assigned

Jan 10, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Julie Ann Reynolds, LCPCNPI 1578948980

Title

Ceo

Phone

(210) 685-8974

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Reynolds, LCPC, LMHC

  • Professional Counselor
  • Moscow, ID
  • NPI 1578948980

  Mental Health

  Medicare reassignment NPD Authorized official
• Milee Druffel, LPCI

  • Mental Health Counselor
  • Moscow, ID
  • NPI 1770315830
  NPD (past)

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1962273870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E 5TH ST UNIT 8083",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432943",
            "telephone_number": "210-685-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W 4TH ST STE 5",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838434311",
            "telephone_number": "210-685-8974",
            "fax_number": "208-883-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE A REYNOLDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-685-8974",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassandra Johnson
• Brittany Ann Johnston
• Sally Johnston, M.S., CCC-SLP
• Cameron Mackay Jones, MD
• Brendon Reed Judd
• Kaleigh Ginther, DDS, PLLC
• Rodney Kanikkeberg
• Suzanne Jennifer Kaplan, LMT
• Adam James Kappmeyer, MD
• David A Keene, LCSW

• Counselor in Moscow, ID
• Providers in Moscow, ID by specialty
• Counselor in Idaho

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

Verify at the official NPI Registry.