Individual provider Active NPI

Lynne F Reilly, MFT LADC

  • Mental Health Counselor
  • Incline Village, NV
National Provider Identifier
1962534321
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0927 Issued in NV
Practice address
781 Geraldine Dr
Incline Village, NV 89451-8608
Phone
(775) 527-5653
Fax
(775) 833-1719
NPI assigned
Mar 12, 2007
Last updated
Aug 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1088 NV
Mental Health Counselor 101YM0800X 0927 NV Primary

Addresses

Primary practice location

781 Geraldine Dr
Incline Village, NV 89451-8608

Mailing address

781 Geraldine Dr
Incline Village, NV 89451-8608
Phone (775) 527-5653

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
1088NVMDAddiction (Substance Use Disorder) Counselor
0927NVMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1962534321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 GERALDINE DR",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894518608",
            "telephone_number": "775-527-5653",
            "fax_number": "775-833-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 GERALDINE DR",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894518608",
            "telephone_number": "775-527-5653",
            "fax_number": "775-833-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "LYNNE",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "MFT LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "1088",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "0927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Incline Village, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.