DR. JEANETTE B REID PHD NPI 1053540583

NPI Information

NPI: 1053540583
Provider Name: DR. JEANETTE B REID, PHD
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
6161 9TH ST N
SUITE 201
ST PETERSBURG, FL
ZIP 33703
Phone: (727) 422-4151
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DR. Jeanette B Reid, PHD is a mental health counselor in St Petersburg, FL. DR. Jeanette B Reid, PHD NPI is 1053540583. 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:

6161 9TH ST N
SUITE 201
ST PETERSBURG, FL
ZIP 33703-104
Phone: (727) 422-4151
Fax: (727) 498-8605

The enumeration date for this NPI number is 7/6/2009 and was last updated on 7/6/2009.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	937A	FLORIDA	No
2	101YM0800X	Counselor	Mental Health	MH5489	FLORIDA	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	937A	OTHER	FLORIDA	CERTIFIED ADDICTIONS COUNSELOR
2	677838100	OTHER	FLORIDA	MEDICAID PAC WAIVER

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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