Allyson Reynolds

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2021047095 Issued in MO

Practice address

2012 Cherry Hill Dr Ste 102B
Columbia, MO 65203-5882

Phone

(573) 891-1330

NPI assigned

Nov 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Marriage and Family Counseling Center

  • Professional Counselor
  • Columbia, MO
  • NPI 1992475669
  NPD

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1982311585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 N VICKIE DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652029242",
            "telephone_number": "314-717-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 CHERRY HILL DR STE 102B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035882",
            "telephone_number": "573-891-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ALLYSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021047095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF COMMERCE AND INSURANCE DIVISION OF PROFESSIONAL REGISTRATION -COUNSELOR",
            "identifier": "2021047095",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Retina Associates of Missouri, P.C.
• Beth R Reule, RD, CSP, LD
• Carin E Reust, MD
• Sara Revelle, FNP
• Revive Rehab, LLC (Revive Rehab Physical Therapy)
• Molly Kate Reynolds, PA-C
• Katarina Ribar, MA, PLPC
• Holly Elizabeth Rice, PLPC
• Jackie S Rice, LMSW
• Jeffrey Scott Rice, PA

• Professional Counselor in Columbia, MO
• Providers in Columbia, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.