DR. MARGIE MAE REYNOLDS (NPI# 1528401775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528401775 |
| Entity Type | Individual |
| Full Name | DR. MARGIE MAE REYNOLDS |
| Credential | LPCC |
| Practice Address |
500 New Start Rd Bronston KY 42518-8572 |
| Practice Telephone | 6065615797 |
| Practice Fax Number | 6065619928 |
| Mailing Telephone | 6065615797 |
| Mailing Fax Number | 6065619928 |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2013-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0167 | KY | Behavioral Health & Social Service Providers |
| Street Address |
500 NEW START RD |
| City | BRONSTON |
| State | KY |
| Zip Code | 42518-8572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497082069 | Martha Jane Crowder | Counselor | 500 New Start Rd, Bronston, KY 42518-8572 | 2009-11-03 |
| 1275962458 | Amie Jo Wilson | Counselor | 500 New Start Rd, Bronston, KY 42518-8572 | 2013-11-07 |
| 1891038493 | Sunrise Children's Services | Residential Treatment Facility, Emotionally Disturbed Children | 500 New Start Rd, Bronston, KY 42518 | 2013-04-02 |
| 1194068890 | Tiffany A Dominey | Counselor | 500 New Start Rd, Bronston, KY 42518-8572 | 2013-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710095179 | Carrie Schultz | Counselor | 288 Twin Rivers Dr, Bronston, KY 42518-9476 | 2006-08-27 |
| 1346840675 | Jason Hamlin | Licensed Vocational Nurse | 371 Sunset Dr, Bronston, KY 42518-9523 | 2020-10-27 |
| 1710528120 | David G Jamison | Technician | 291 Forest Ridge Cir, Bronston, KY 42518-9620 | 2019-10-07 |
| 1932371846 | Paula Jane Gibson | Occupational Therapist | 29 Colson Dr, Bronston, KY 42518-9700 | 2008-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840675 | Jason Hamlin | Licensed Vocational Nurse | 371 Sunset Dr, Bronston, KY 42518-9523 | 2020-10-27 |
| 1710528120 | David G Jamison | Technician | 291 Forest Ridge Cir, Bronston, KY 42518-9620 | 2019-10-07 |
| 1932371846 | Paula Jane Gibson | Occupational Therapist | 29 Colson Dr, Bronston, KY 42518-9700 | 2008-03-31 |
| 1710095179 | Carrie Schultz | Counselor | 288 Twin Rivers Dr, Bronston, KY 42518-9476 | 2006-08-27 |
| 1891038493 | Sunrise Children's Services | Residential Treatment Facility, Emotionally Disturbed Children | 500 New Start Rd, Bronston, KY 42518 | 2013-04-02 |
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497082069 | Martha Jane Crowder | Counselor | 500 New Start Rd, Bronston, KY 42518-8572 | 2009-11-03 |
| 1710095179 | Carrie Schultz | Counselor | 288 Twin Rivers Dr, Bronston, KY 42518-9476 | 2006-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578473 | Eastern Kentucky Specialties, LLC | Counselor | 1544 Winchester Ave Ste 804, Ashland, KY 41101-7931 | 2020-11-06 |
| 1124627484 | Mosaic Counseling Inc | Counselor | 2767 Veach Rd Ste D, Owensboro, KY 42303-6200 | 2020-10-19 |
| 1699382820 | Amy Brickler | Counselor | 1721 Us 31w Byp, Bowling Green, KY 42101-3030 | 2020-10-01 |
| 1063029429 | Paff Mental Health | Counselor | 236 E Reynolds Rd Ste C2, Lexington, KY 40517-1273 | 2020-09-29 |
| 1265041115 | Tamathy Henderson | Counselor | 129b Howell Dr, Elizabethtown, KY 42701-3614 | 2020-07-27 |
| 1588273866 | Amelia Neuroth | Counselor | 120 E Main St Apt 2102, Lexington, KY 40507-1352 | 2020-07-23 |
| 1922625649 | Laronica Shonta Lawson | Counselor | 17127 Piton Way, Louisville, KY 40245-5409 | 2020-06-29 |
| 1295351724 | Jonathan Yussman | Counselor | 3102 Sunfield Cir, Louisville, KY 40241-6514 | 2020-06-20 |
| 1952927592 | Michaela Henderson | Counselor | 1100 Walnut St # 52, Owensboro, KY 42301-2956 | 2020-06-19 |
| 1841811478 | Geneva Marie Drane | Counselor | 4316 Lonsdale Ave, Louisville, KY 40215-1036 | 2020-05-05 |
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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.