COURTNEY VINCENT REYNOLDS LPC
NPI 1710171103
Counselor in Statesville, NC

Q: What is Courtney Reynolds's NPI number?

The NPI number for Courtney Reynolds is 1710171103. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Q: What is Courtney Reynolds's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Reynolds was last updated on July 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 August 29, 2007PECOS EnrolledAccepts Medicare Assignment

536 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625(704) 872-0234 Get Directions Write a Review

NPPES record last updated: July 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Courtney Vincent Reynolds Lpc NPPES

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

COURTNEY VINCENT REYNOLDS LPC (NPI 1710171103) is an individual counselor in Statesville, North Carolina and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1710171103

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameCOURTNEY VINCENT REYNOLDSCredential: LPC

Location Address536 SIGNAL HILL DRIVE EXTStatesville, NC 28625-4391

Mailing Address536 Signal Hill Drive ExtStatesville, NC 28625-4391 · (704) 872-0234

Phone(704) 872-0234

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateAugust 29, 2007

Last NPPES UpdateJuly 3, 2012

✔ NPI 1710171103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

536 SIGNAL HILL DRIVE EXT, Statesville, NC 28625

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Other Identifiers 1

Medicaid6103961NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

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

Courtney Vincent Reynolds 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 ID143769737

PECOS Enrollment IDI20240827003403

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 13

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

ELLIS RAY BUTLER II LCAS-A

Counselor (Addiction (Substance Use Disorder))