JACQUELINE LYLE REIST LPC
NPI 1306433198
Counselor - Professional in Reston, VA

Q: What is Jacqueline Reist's NPI number?

The NPI number for Jacqueline Reist is 1306433198. It was assigned to this individual provider in the NPPES registry on December 28, 2020.

Q: What is Jacqueline Reist's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Reist was last updated on June 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 28, 2020PECOS EnrolledAccepts Medicare Assignment

12359 SUNRISE VALLEY DR STE 320, RESTON, VA 20191(703) 596-4796 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 18, 2022, Apr 26, 2022, Dec 28, 2020 (3 updates tracked since 2020).

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About Jacqueline Lyle Reist Lpc NPPES

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

JACQUELINE LYLE REIST LPC (NPI 1306433198) is an individual professional provider in Reston, Virginia, licensed in Virginia (0701011418) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306433198

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJACQUELINE LYLE REISTCredential: LPC

Location Address12359 SUNRISE VALLEY DR STE 320Reston, VA 20191-3463

Mailing Address12359 Sunrise Valley Dr Ste 320Reston, VA 20191-3463 · (703) 596-4796

Phone(703) 596-4796

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 28, 2020

Last NPPES UpdateJune 18, 20263 updates tracked since enumeration

NPPES CertifiedJune 18, 2026

✔ NPI 1306433198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in VA · 0701011418

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0704012975 (VA)

12359 SUNRISE VALLEY DR STE 320, Reston, VA 20191

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Lyle Reist Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305383357

PECOS Enrollment IDI20250905001022

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.

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Other Providers at the Same Location NPPES 13

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

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