Individual provider Active NPI

Jillian Ranee Reynolds, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Asheville, NC
National Provider Identifier
1992432108
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
26741 Issued in NC
Practice address
77 Central Ave Ste a
Asheville, NC 28801-2452
Phone
(828) 778-2973
Fax
(765) 392-4263
NPI assigned
Aug 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Addiction (Substance Use Disorder) Counselor 101YA0400X 26741 NC Primary

Addresses

Primary practice location

77 Central Ave Ste a
Asheville, NC 28801-2452

Mailing address

714 Newfound Rd
Leicester, NC 28748-9770
Phone (828) 776-7824

Other practice location 1

714 Newfound Rd
Leicester, NC 28748-9770
Phone (828) 776-7824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260526001206 NC Practitioner - Clinical Social Worker 1254801814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3052 Sheridan St
Detroit, MI 48214-1799

77 Central Ave
Suite a
Asheville, NC 28801-2452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26741NCMDAddiction (Substance Use Disorder) Counselor

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1992432108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 NEWFOUND RD",
            "city": "LEICESTER",
            "state": "NC",
            "postal_code": "287489770",
            "telephone_number": "828-776-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CENTRAL AVE STE A",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012452",
            "telephone_number": "828-778-2973",
            "fax_number": "765-392-4263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 Newfound Rd",
            "address_purpose": "LOCATION",
            "city": "Leicester",
            "state": "NC",
            "postal_code": "287489770",
            "country_code": "US",
            "telephone_number": "828-776-7824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JILLIAN",
        "middle_name": "RANEE",
        "credential": "LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-07",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "26741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.