Individual provider Active NPI

Leo Reid, MA, LPC

  • Professional Counselor
  • Amarillo, TX
National Provider Identifier
1992465512
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
65359 Issued in TX
Practice address
12 Medical Dr
Amarillo, TX 79106-4136
Phone
(806) 356-0404
Fax
(806) 356-0590
NPI assigned
Dec 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 65359 TX Primary

Addresses

Primary practice location

12 Medical Dr
Amarillo, TX 79106-4136

Mailing address

12 Medical Dr
Amarillo, TX 79106-4136
Phone (806) 356-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260204000915 TX Practitioner - Mental Health Counselor 4183102742 Practice locations: Amarillo, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12 Medical Dr
Amarillo, TX 79106-4136
Phone (806) 356-0404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
65359TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Taf Group, LLC CurrentSince Dec 26, 2021 Accepting new patients
Taf Group, LLC PastSince Dec 26, 2021 Accepting new patients

Locations

12 Medical Dr
Amarillo, TX 79106
Phone (806) 356-0404

Organizations & group practices 2

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": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1992465512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MEDICAL DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064136",
            "telephone_number": "806-356-0404",
            "fax_number": "806-356-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MEDICAL DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064136",
            "telephone_number": "806-356-0404",
            "fax_number": "806-356-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "LEO",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.