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STACEY L REYNOLDS
NPI 1134542889
Counselor - Professional in Edmond, OK

Active since January 31, 2014PECOS Enrolled
400 S BROADWAY STE 15, EDMOND, OK 73034(405) 562-4891 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Stacey L Reynolds NPPES

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

STACEY L REYNOLDS (NPI 1134542889) is an individual professional provider in Edmond, Oklahoma, licensed in Oklahoma (5931) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134542889
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACEY L REYNOLDS
Location Address400 S BROADWAY STE 15Edmond, OK 73034-3848
Mailing Address1016 Sw 44th St Ste 500Oklahoma City, OK 73109-3615 · (405) 605-4249
Phone(405) 562-4891
Sole ProprietorYes
Enumeration DateJanuary 31, 2014
Last NPPES UpdateNovember 30, 2016
✔ NPI 1134542889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OK · 5931
400 S BROADWAY STE 15, Edmond, OK 73034
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Other Identifiers 1

Medicaid200522860AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey L Reynolds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Stacey Reynolds's NPI number?

The NPI number for Stacey Reynolds is 1134542889. It was assigned to this individual provider in the NPPES registry on January 31, 2014.

Where is Stacey Reynolds located?

Stacey Reynolds practices at 400 S Broadway Ste 15, Edmond, OK 73034. The listed phone number is (405) 562-4891.

What is Stacey Reynolds's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Stacey Reynolds enrolled in Medicare?

Yes. Stacey Reynolds is registered in the Medicare PECOS enrollment system.

What insurance does Stacey Reynolds accept?

Health plans from Mending Health list Stacey Reynolds as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacey Reynolds was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.