MR. MICHELLE RENEE REYNOLDS (NPI# 1073123113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073123113 |
| Entity Type | Individual |
| Full Name | MR. MICHELLE RENEE REYNOLDS |
| Practice Address |
360 S Westlake Ave Los Angeles CA 90057-2906 |
| Practice Telephone | 2134839201 |
| Practice Fax Number | 2133820136 |
| Mailing Telephone | 2134839201 |
| Mailing Fax Number | 2133820136 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R1367151019 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689167819 | Michelle Reynolds | Military Health Care Provider | 14 Beechwood Rd, Hudson, NH 03051-3401 | 2018-06-12 |
| 1285130781 | Michelle Reynolds | Physical Therapy Assistant | 10089 N Oak Rd E, Cedar Hills, UT 84062-9026 | 2018-04-03 |
| 1235519372 | Michelle Marie Reynolds | Technician, Other | 1190 N Ferris Rd, Sumner, MI 48889-9701 | 2015-06-03 |
| 1952732695 | Michelle Reynolds | Substance Abuse Rehabilitation Facility | 218 E Orangeburg Ave, Modesto, CA 95350-5313 | 2013-12-05 |
| 1619231446 | Michelle Lynne Reynolds | Specialist | 136 Mount Sinai Ave, Mount Sinai, NY 11766-2356 | 2012-06-26 |
| 1356535850 | Michelle Monaco Reynolds | Psychologist | 90 Royal Oak Dr, Durham, CT 06422-1410 | 2007-08-28 |
| 1770613101 | Michelle Reynolds | Dentist | 305 Blair Ave, Friday Harbor, WA 98250-8076 | 2007-03-06 |
| 1356952857 | Michelle Monique Reynolds | Nurse Practitioner | 1000 Locust St, Reno, NV 89502-2597 | 2020-08-10 |
| 1366941957 | Michelle Renee Reynolds | Social Worker | 857 E 200 S, Salt Lake City, UT 84102-2317 | 2018-02-08 |
| 1669906053 | Michelle Reynolds | Family Medicine | 240 Willow St, Tyler, MN 56178-1201 | 2017-04-12 |
| Street Address |
360 S WESTLAKE AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90057-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821086976 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2005-10-12 |
| 1760089684 | David Lyle Carver | Counselor | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2020-10-04 |
| 1457972069 | Raul Adam Lopez | Counselor | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2020-05-05 |
| 1326672197 | Patricia Joan Patillo | Counselor | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2020-03-02 |
| 1598397952 | Michelle Anders | Counselor | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2020-02-04 |
| 1871124172 | Gabrielle Price | Counselor | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2020-01-27 |
| 1518597723 | Ivan Josue Vargas Sr. | Counselor | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2020-01-16 |
| 1710527635 | Kelly Raye Saldivar | Counselor | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2020-01-08 |
| 1104466143 | Amber Marie Hansen-garcia | Counselor | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2020-01-07 |
| 1134768278 | Laurie Marie Holmond | Counselor | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2020-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1437714615 | Jackeline L Ramon | Social Worker | 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 | 2019-05-03 |
| 1467015743 | Chanhwi Jung | Acupuncturist | 349 South Lafayette Park Place, #208, Los Angeles, CA 90057 | 2019-04-22 |
| 1356818850 | Anshim Acupuncture Inc | Acupuncturist | 4501 Alameda St., #107b #115, Los Angeles, CA 90057 | 2018-11-01 |
| 1538634670 | Karina Herrera | Case Manager/Care Coordinator | 679 S. Hampshire Ave, Los Angeles, CA 90057 | 2018-10-04 |
| 1306323506 | Jessica Myung Jin Yun | Counselor | 520 S Lafayette Park Pl, Unit 300, Los Angeles, CA 90057 | 2018-07-20 |
| 1851887012 | Scott Moon | Dentist | 2426 W. 8th St. #209, Los Angeles, CA 90057 | 2018-07-10 |
| 1780176107 | Bianca Zafiro | Case Manager/Care Coordinator | 672 S Lafayette Park Place, Suite 6, Los Angeles, CA 90057 | 2018-06-01 |
| 1639677438 | Claudia E Vides Inc A Dental Corporation | Clinic/Center | 2033 W. 7th Street, Los Angeles, CA 90057 | 2018-01-26 |
| 1720596414 | Hee Sun No | Pharmacist | 269 S Lafayette Park Pl, 210, Los Angeles, CA 90057 | 2018-01-16 |
| Find all providers in zip 90057 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| 1578179941 | Leo Vasquezawarez | Counselor | 470 E 3rd St # Ab, Los Angeles, CA 90013-1629 | 2020-09-21 |
| 1801401963 | Manuel Gambino | Counselor | 11301 Wilshire Blvd Bldg 337, Los Angeles, CA 90073-1003 | 2020-09-14 |
| 1871107219 | Frances Field | Counselor | 3739 Mentone Ave Apt 7, Los Angeles, CA 90034-6444 | 2020-09-02 |
| 1730707985 | Lucia Miguel | Counselor | 1428 W 59th St, Los Angeles, CA 90047-1209 | 2020-07-13 |
| 1821615220 | Sarah Payne | Counselor | 3217 North Eastern Ave, Los Angeles, CA 90032 | 2020-07-01 |
| 1376168070 | Mercedes Elkoff | Counselor | 1745 Warnall Ave, Los Angeles, CA 90024-5358 | 2020-06-09 |
| 1508481201 | Jeanine Ingram | Counselor | 3815 Lockland Dr, Los Angeles, CA 90008-3533 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90057 |
Please comment or provide details below to improve the information on MR. MICHELLE RENEE REYNOLDS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.