COURTNEY VINCENT REYNOLDS (NPI# 1710171103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710171103 |
| Entity Type | Individual |
| Full Name | COURTNEY VINCENT REYNOLDS |
| Credential | LPC |
| Practice Address |
536 Signal Hill Drive Ext Statesville NC 28625-4391 |
| Practice Telephone | 7048720234 |
| Mailing Telephone | 7048720234 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2012-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6103961 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265673065 | Courtney Louise Reynolds | Case Manager/Care Coordinator | 2221 S Lennox Ave, Casper, WY 82601-5127 | 2009-03-09 |
| 1932109444 | Courtney Kovach Reynolds | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2005-07-26 |
| 1962027110 | Courtney Marie Reynolds | Pharmacist | 15031 Sr 224 E, Findlay, OH 45840-7764 | 2020-06-13 |
| 1881179208 | Courtney Anne Reynolds | Case Manager/Care Coordinator | 4242 Ridge Lea Rd, Amherst, NY 14226-1051 | 2018-10-02 |
| 1194209692 | Courtney Reynolds | Registered Nurse | 4755 Ogletown Stanton Rd Ste 1070, Newark, DE 19718-9706 | 2018-09-20 |
| 1841797800 | Courtney Rae Reynolds | Student in an Organized Health Care Education/Training Program | 1100 Delaplaine Ct, Madison, WI 53715-1840 | 2018-04-06 |
| 1326577032 | Courtney Reynolds | Counselor | 3859 Martin Way E, Olympia, WA 98506-5268 | 2017-06-06 |
| 1114472495 | Courtney Reynolds | Dietitian, Registered | 1 Pinckney Blvd, Room 4w118, Beaufort, SC 29902-6122 | 2016-08-17 |
| 1235559972 | Courtney Reynolds | Internal Medicine | 14445 Olive View Dr, Sylmar, CA 91342 | 2014-04-21 |
| 1487997920 | Courtney Anne Reynolds | Counselor | 248 Seneca St Fl 3, Oil City, PA 16301-1371 | 2013-04-03 |
| Street Address |
536 SIGNAL HILL DRIVE EXT |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28625-4391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003838632 | Deborah O'neil Speaks | Nurse Practitioner | 536 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2006-07-24 |
| 1396377057 | Paula D Gabriel | Counselor | 536 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2020-02-10 |
| 1366073009 | Brandy Latisha Brown | Nurse Practitioner | 536 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2020-01-31 |
| 1457900557 | Deborah Anne Kurtz | Counselor | 536 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-09-11 |
| 1841849601 | Jennifer Leigh Crow | Counselor | 536 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-09-05 |
| 1538628110 | Kelly Taylor Eastergard | Nurse Practitioner | 536 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-03-13 |
| 1174011258 | Darleatha Hiers | Nurse Practitioner | 536 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2018-04-25 |
| 1497253058 | Deborah Mace | Counselor | 536 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2018-01-30 |
| 1851802441 | Olivia Morrison | Counselor | 536 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2017-10-23 |
| 1447769427 | Erin L Kishpaugh | Counselor | 536 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2017-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714163 | Sandra Lourdes Mayta | Counselor | 1450 Fern Creek Drive, Statesville, NC 28625 | 2020-03-05 |
| 1023643582 | Youngchi Chang Dds Pllc | Dentist | 964 Glenway Ave Ste A, Statesville, NC 28625 | 2020-03-05 |
| 1538799200 | Nicole-marie Blischak | Dentist | 964 Glenway Dr, Ste A, Statesville, NC 28625 | 2020-01-22 |
| 1013575257 | Sherry Neilson | Registered Nurse | 524 Signal Hill Rd, Statesville, NC 28625 | 2019-06-03 |
| 1770904328 | Elinor Kyle Tyner | Counselor | 1206 Museum Road, Statesville, NC 28625 | 2013-12-30 |
| 1982031001 | Tamiko Bradley | Counselor | 524 Signal Hill Dr Ext, Statesville, NC 28625 | 2013-10-03 |
| 1487932505 | Nicole Weisner Winecoff | Advanced Practice Midwife | 1420 Fern Creek Drive, Statesville, NC 28625 | 2011-07-22 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1619122538 | Phasebdevelopment | Substance Abuse Rehabilitation Facility | 113 Bethany Rd, Statesville, NC 28625 | 2008-11-19 |
| Find all providers in zip 28625 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770936379 | Michael Benfield | Counselor | 316 Sharon School Rd, Statesville, NC 28677-1347 | 2016-07-19 |
| 1982031001 | Tamiko Bradley | Counselor | 524 Signal Hill Dr Ext, Statesville, NC 28625 | 2013-10-03 |
| 1972807535 | Diakonos, Inc. | Counselor | 1419 Wilson W Lee Blvd, Statesville, NC 28677-7021 | 2010-12-22 |
| 1225216021 | Christina Marie Mann | Counselor | 2119 Wexford Way, Statesville, NC 28625-5017 | 2008-02-04 |
| 1023440880 | Amy Stamper | Counselor | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2013-08-05 |
| 1194169607 | William Scott Denson | Counselor | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2013-04-26 |
| 1962747774 | Elizabeth Green | Counselor | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2012-12-05 |
| 1245595784 | William Campbell | Counselor | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2012-07-11 |
| 1124383708 | Keith B Brown | Counselor | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2012-07-10 |
| 1700147451 | Meredith D Thigpen | Counselor | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2012-05-30 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28625 |
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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.