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JEFFREY C REYNOLDS LCPC PHD
NPI 1477641165
Counselor - Professional in Paxton, IL

Active since October 10, 2006PECOS Enrolled
1510 W OTTAWA, PAXTON, IL 60957(217) 379-4302(217) 379-4306 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeffrey C Reynolds Lcpc Phd NPPES

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

JEFFREY C REYNOLDS LCPC PHD (NPI 1477641165) is an individual professional provider in Paxton, Illinois, licensed in Illinois (180004199) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477641165
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJEFFREY C REYNOLDSCredential: LCPC PHD
Location Address1510 W OTTAWAPaxton, IL 60957
Mailing AddressPo Box 162Paxton, IL 60957-0162 · (217) 379-4302 · Fax (217) 817-0379
Phone(217) 379-4302
Fax(217) 379-4306
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
✔ NPI 1477641165 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 IL · 180004199
1510 W OTTAWA, Paxton, IL 60957
Open in Google Maps ↗

Other Identifiers 1

Other180004199IL · Lcpc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey C Reynolds Lcpc Phd 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.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Reynolds reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Resource & Counseling Center Inc
Same address
Mental Health (Including Community Mental Health Center)
1510 W OTTAWA RD
Paxton, IL 60957
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group
NPI 1972567261 (217) 379-4302

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

Other Providers at the Same Location NPPES 8

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

TIM L MURPHY
Social Worker
1510 W OTTAWA
PAXTON, IL 60957
Ford County (217) 379-4302
BETH C BARNES RN
Registered Nurse
1510 W OTTAWA
PAXTON, IL 60957
Ford County (217) 379-4302
DEBORAH ELIZABETH DORSEY
Social Worker (Clinical)
1510 W OTTAWA
PAXTON, IL 60957
Ford County (217) 379-4302
AMY CABBAGE LCSW
Social Worker (Clinical)
1510 W OTTAWA
PAXTON, IL 60957
Ford County (217) 379-4302
JOHN S WOLF
Counselor
1510 W OTTAWA
PAXTON, IL 60957
Ford County (217) 379-4302
KARI ANN ROLLER LCSW
Counselor (Mental Health)
1510 W OTTAWA
PAXTON, IL 60957
Ford County (217) 379-4302
MICHELLE K CURRY
Counselor (Mental Health)
1510 W OTTAWA
PAXTON, IL 60957
Ford County (217) 379-4302
FONDA L TUCKER
Counselor
1510 W OTTAWA
PAXTON, IL 60957
Ford County (217) 379-4302

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 Jeffrey Reynolds's NPI number?

The NPI number for Jeffrey Reynolds is 1477641165. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Jeffrey Reynolds located?

Jeffrey Reynolds practices at 1510 W Ottawa, Paxton, IL 60957. The listed phone number is (217) 379-4302.

What is Jeffrey Reynolds's specialty?

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

Is Jeffrey Reynolds enrolled in Medicare?

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

Which organization bills Medicare for Jeffrey Reynolds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Reynolds reassigns Medicare benefits to Community Resource & Counseling Center Inc (Paxton, IL). The 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 Jeffrey Reynolds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Reynolds was last updated on January 25, 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.