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

Q: 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.

Q: What is Jeffrey Reynolds'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 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.

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: August 16, 2026.

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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

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Other Identifiers 1

Other180004199IL · Lcpc

Medicare Participation & PECOS CMS

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

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.

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