JULIANNE REYNOLDS LLC
NPI 1477392173
Counselor - Professional in Saint Louis, MO

Active since May 22, 2024
11628 OLD BALLAS RD, SAINT LOUIS, MO 63141(636) 368-5745 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Julianne Reynolds Llc NPPES

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

JULIANNE REYNOLDS LLC (NPI 1477392173) is a healthcare organization registered as a professional in Saint Louis, Missouri and active in the NPI registry since May 2024. The organization lists Julianne Reynolds, Owner, as its authorized official.

NPPES Registry Identity

NPI1477392173
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameJULIANNE REYNOLDS LLC
Location Address11628 OLD BALLAS RDSaint Louis, MO 63141-7030
Mailing Address11628 Old Ballas RdSaint Louis, MO 63141-7030 · (636) 368-5745
Organization SubpartNo
Authorized OfficialJulianne ReynoldsOwner · (636) 368-5745
Enumeration DateMay 22, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1477392173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
11628 OLD BALLAS RD, Saint Louis, MO 63141

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Julianne Reynolds LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1114518339
11628 OLD BALLAS RD STE 222
Saint Louis, MO 63141
(636) 368-5745
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Julianne Reynolds LLC's NPI number?

The NPI number for Julianne Reynolds LLC is 1477392173. It was assigned to this organization in the NPPES registry on May 22, 2024.

Where is Julianne Reynolds LLC located?

Julianne Reynolds LLC is located at 11628 Old Ballas Rd, Saint Louis, MO 63141. The listed phone number is (636) 368-5745.

What is Julianne Reynolds LLC's specialty?

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

Is Julianne Reynolds LLC enrolled in Medicare?

Yes. Julianne Reynolds LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Julianne Reynolds LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Julianne Reynolds LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Julianne Reynolds LLC was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.