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MS. LEESA M PHANEUF-REYNOLDS MA, MSW, LSWAIC
NPI 1396167060
Counselor - Mental Health in Walla Walla, WA

Active since January 14, 2014
30 W MAIN ST, SUITE 305, WALLA WALLA, WA 99362(509) 460-7206 Get Directions Write a Review

NPPES record last updated: October 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Leesa M Phaneuf-reynolds Ma, Msw, Lswaic NPPES

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

MS. LEESA M PHANEUF-REYNOLDS MA, MSW, LSWAIC (NPI 1396167060) is an individual mental health provider in Walla Walla, Washington, licensed in Washington (SC60412135) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1396167060
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. LEESA M PHANEUF-REYNOLDSCredential: MA, MSW, LSWAIC
Location Address30 W MAIN ST, SUITE 305Walla Walla, WA 99362-2872
Mailing Address30 W Main St, Suite 305Walla Walla, WA 99362-2872 · (509) 460-7206
Phone(509) 460-7206
Sole ProprietorYes
Enumeration DateJanuary 14, 2014
Last NPPES UpdateOctober 2, 2016
✔ NPI 1396167060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · SC60412135
30 W MAIN ST, Walla Walla, WA 99362
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 4

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

RYAN CALHOON LMT
Specialist
30 W MAIN ST, SUITE 202
WALLA WALLA, WA 99362
Walla Walla County (509) 526-0655
ALLISON MARIE LYONS LMP
Specialist
30 W MAIN ST, SUITE 202
WALLA WALLA, WA 99362
Walla Walla County (509) 526-0655
DANIEL RICHARD BRUNER LAC
Acupuncturist
30 W MAIN ST, SUITE 202
WALLA WALLA, WA 99362
Walla Walla County (509) 526-0655
MS. JANET CLAIRE ATWATER L.M.P.
Massage Therapist
30 W MAIN ST, SUITE 202
WALLA WALLA, WA 99362
Walla Walla County (509) 526-0655

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 Leesa Phaneuf-reynolds's NPI number?

The NPI number for Leesa Phaneuf-reynolds is 1396167060. It was assigned to this individual provider in the NPPES registry on January 14, 2014.

Where is Leesa Phaneuf-reynolds located?

Leesa Phaneuf-reynolds practices at 30 W Main St Suite 305, Walla Walla, WA 99362. The listed phone number is (509) 460-7206.

What is Leesa Phaneuf-reynolds's specialty?

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

What insurance does Leesa Phaneuf-reynolds accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Leesa Phaneuf-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 Leesa Phaneuf-reynolds was last updated on October 2, 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.