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SAMANTHA REYNOLDS
NPI 1114737335
Counselor - Mental Health in Mount Vernon, IL

Active since January 09, 2025
4110 N WATER TOWER PL, MOUNT VERNON, IL 62864(618) 242-2066 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Reynolds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA REYNOLDS (NPI 1114737335) is an individual mental health provider in Mount Vernon, Illinois and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1114737335
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA REYNOLDS
Location Address4110 N WATER TOWER PLMount Vernon, IL 62864-6295
Mailing Address512 W Lair StVernon, IL 62892-1200 · (618) 292-9098
Phone(618) 242-2066
Sole ProprietorNo
Enumeration DateJanuary 9, 2025
NPPES CertifiedJanuary 9, 2025
✔ NPI 1114737335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4110 N WATER TOWER PL, Mount Vernon, IL 62864
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JON CHRISTIAN MINOR MHP
Counselor (Mental Health)
4110 N WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 242-8266
ADRIA JAEL HAMILTON MHP
Counselor
4110 N WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (773) 720-7089
SHERYL HOLLY-TAYLOR
Counselor (Mental Health)
4110 N WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 242-8266
DYLAN MATTHEW HALL MHP
Counselor (Mental Health)
4110 N WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 242-8266
GINA M TAYLOR MHP
Counselor (Mental Health)
4110 N WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 242-8266
AMANDA CORYELL
Counselor (Mental Health)
4110 N WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 534-5712
MRS. AMY ELIZABETH BARTON L.C.S.W.
Social Worker (Clinical)
4110 N WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (618) 242-8266
JADE WINNE MHP
Counselor (Mental Health)
4110 N WATER TOWER PL
MOUNT VERNON, IL 62864
Jefferson County (773) 415-5456

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Reynolds's NPI number?

The NPI number for Samantha Reynolds is 1114737335. It was assigned to this individual provider in the NPPES registry on January 9, 2025.

Where is Samantha Reynolds located?

Samantha Reynolds practices at 4110 N Water Tower Pl, Mount Vernon, IL 62864. The listed phone number is (618) 242-2066.

What is Samantha Reynolds's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Samantha Reynolds was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.