MS. KIMBERLY ANN REILLY MA CAGS NPI 1184165342

NPI Information

NPI: 1184165342
Provider Name: MS. KIMBERLY ANN REILLY, MA, CAGS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
358 S OAKDALE AVE
MEDFORD, OR
ZIP 97501
Phone: (541) 776-0497
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MS. Kimberly Ann Reilly, MA, CAGS is a mental health counselor in Medford, OR. MS. Kimberly Ann Reilly, MA, CAGS NPI is 1184165342. 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:

358 S OAKDALE AVE
MEDFORD, OR
ZIP 97501-131
Phone: (541) 776-0497

The enumeration date for this NPI number is 3/20/2017 and was last updated on 10/4/2021.

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 State	Primary
1	101Y00000X	Counselor			No
2	101YM0800X	Counselor	Mental Health	OREGON	No
3	101YM0800X	Counselor	Mental Health		Yes

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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