ROBERT REYNIERSON (NPI# 1093974164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093974164 |
| Entity Type | Individual |
| Full Name | ROBERT REYNIERSON |
| Credential | LMHC |
| Practice Address |
439 Sw Michigan Street Lake City FL 32025-0440 |
| Mailing Address |
4300 Sw 13th Street Gainesville FL 32608-4006 |
| Practice Telephone | 3864870800 |
| Practice Fax Number | 3522242746 |
| Mailing Telephone | 3523745600 |
| Mailing Fax Number | 3522242746 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2016-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH6152 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 76207300 | 05 |
| Street Address |
439 SW MICHIGAN STREET |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-0440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303846 | Colette L Bone | Counselor | 919 Godfrey Rd, Lake City, PA 16423-2110 | 2020-10-13 |
| 1487203956 | Amber Renee Granger Baughman | Counselor | 691 Nw Jean Ct, Lake City, FL 32055-7062 | 2019-09-08 |
| 1649730219 | Ricketta Tiara Arline | Counselor | 260 S Marion Ave Ste 105, Lake City, FL 32025-7034 | 2019-03-21 |
| 1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
| 1861886277 | Resolutions Health Alliance, P | Counselor | 1344 Se Baya Dr, Lake City, FL 32025-4888 | 2015-03-24 |
| 1881012292 | Rachel Christian Parker | Counselor | 3546 Sw State Road 247, Lake City, FL 32024-0785 | 2014-04-02 |
| 1801213871 | Gina Stork | Counselor | 3662 Garber Ave, Lake City, IA 51449-7554 | 2014-03-27 |
| 1578990784 | North Florida Center for Counseling, LLC | Counselor | 260 South Marion Avenue Suite 140, Lake City, FL 32025 | 2013-10-02 |
| 1184924649 | Stephanie Dayle Douglas | Counselor | 197 Sw Sarah Ct, Lake City, FL 32024-3852 | 2010-10-29 |
| 1326278433 | Lydia Dryer Marohn | Counselor | 356 S Marion Ave, Lake City, FL 32025-5261 | 2009-07-23 |
| Find all providers in LAKE CITY | ||||
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| 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.