MR. GARY MICHAEL REAVES A.C.S.W.
NPI 1760688048
Counselor - Mental Health in Santa Cruz, CA

Q: What is Gary Reaves's NPI number?

The NPI number for Gary Reaves is 1760688048. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Q: What is Gary Reaves's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gary Reaves was last updated on July 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 25, 2007PECOS EnrolledAccepts Medicare Assignment

1400 EMELINE AVE, SANTA CRUZ, CA 95060(831) 454-4170 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mr. Gary Michael Reaves A.c.s.w. NPPES

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

MR. GARY MICHAEL REAVES A.C.S.W. (NPI 1760688048) is an individual mental health provider in Santa Cruz, California, licensed in California (LCSW28704) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1760688048

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. GARY MICHAEL REAVESCredential: A.C.S.W.

Location Address1400 EMELINE AVESanta Cruz, CA 95060-1976

Mailing Address1400 Emeline Ave, Building #k, Second FloorSanta Cruz, CA 95060-1976 · (831) 454-4170

Phone(831) 454-4170

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJune 25, 2007

Last NPPES UpdateJuly 16, 2019

✔ NPI 1760688048 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 CA · LCSW28704

1400 EMELINE AVE, Santa Cruz, CA 95060

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Other Identifiers 2

OtherZZZ92069ZCA · Santa Cruz County Medicare Group#

OtherZZZ91892ZCA · Santa Cruz County Medicare Group#

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Gary Michael Reaves A.c.s.w. 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 ID8921231531

PECOS Enrollment IDI20140506002304

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 Gary Reaves reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Santa Cruz

0.1 mi

Clinic/Center

1080 EMELINE AVE
Santa Cruz, CA 95060

Reassigned Medicare billing, California enrollment
49 clinicians in this Medicare group

NPI 1659315430 (831) 454-4000

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 20

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

ESMERALDA ALFARO

Technician, Health Information (Assistant Record Technician)