MARY CATHERINE REIDY LPC NPI 1073195517

NPI Information

NPI: 1073195517
Provider Name: MARY CATHERINE REIDY, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
611 MCDOWELL AVE NW
ROANOKE, VA
ZIP 24016
Phone: (540) 981-9351
Get Directions

Mary Catherine Reidy, LPC is a mental health counselor in Roanoke, VA. Mary Catherine Reidy, LPC NPI is 1073195517. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

611 MCDOWELL AVE NW
ROANOKE, VA
ZIP 24016-225
Phone: (540) 981-9351

The enumeration date for this NPI number is 4/23/2021 and was last updated on 4/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1437137734	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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