MICHELLE KATHLEEN REYNOLDS LMFT
NPI 1912377094
Marriage & Family Therapist in Cortland, NY

Q: What is Michelle Reynolds's NPI number?

The NPI number for Michelle Reynolds is 1912377094. It was assigned to this individual provider in the NPPES registry on October 1, 2015. The provider is also known as Michelle Kathleen Sullivan.

Q: What is Michelle Reynolds's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Reynolds was last updated on January 29, 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 01, 2015PECOS Enrolled

165 MAIN ST STE A, CORTLAND, NY 13045(607) 753-0234 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 13, 2019, Jul 6, 2018, Oct 1, 2015 (3 updates tracked since 2015).

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About Michelle Kathleen Reynolds Lmft NPPES

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

MICHELLE KATHLEEN REYNOLDS LMFT (NPI 1912377094) is an individual marriage & family therapist in Cortland, New York, licensed in New York (001614) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912377094

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMICHELLE KATHLEEN REYNOLDSCredential: LMFT

Location Address165 MAIN ST STE ACortland, NY 13045-3049

Mailing Address165 Main St Ste ACortland, NY 13045-3049 · (607) 753-0234 · Fax (607) 299-4349

Phone(607) 753-0234

Sole ProprietorNo

Enumeration DateOctober 1, 2015

Last NPPES UpdateJanuary 29, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2024

✔ NPI 1912377094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in NY · 001614

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

165 MAIN ST STE A, Cortland, NY 13045

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Other Names 1

Former Name (1)Michelle Kathleen Sullivan

Other Identifiers 1

Medicaid1336163963NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Kathleen Reynolds Lmft 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 20

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

SARAH ELIZABETH LOOMIS LMSW

Counselor