MR. JOEL REYNOLDS NPI 1457722282

NPI Information

  • NPI: 1457722282
  • Provider Name: MR. JOEL REYNOLDS
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 5430 COMMERCE BLVD
    2G
    ROHNERT PARK, CA
    ZIP 94928
  • Phone: (707) 586-1125

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NPI Details

MR. Joel Reynolds is an addiction (substance use disorder) counselor in Rohnert Park, CA. MR. Joel Reynolds NPI is 1457722282. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5430 COMMERCE BLVD
2G
ROHNERT PARK, CA
ZIP 94928
Phone: (707) 586-1125

The enumeration date for this NPI number is 10/20/2015 and was last updated on 10/20/2015.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)RO412281418CALIFORNIAYes

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: 11/21/2025

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