JORGE DOMINGO REYES MS NPI 1578965422

NPI Information

NPI: 1578965422
Provider Name: JORGE DOMINGO REYES, MS
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
5700 E. FRANKLIN RD.
SUITE 220-I
NAMPA, ID
ZIP 83687
Phone: (208) 514-9497
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Jorge Domingo Reyes, MS is a professional counselor in Nampa, ID. Jorge Domingo Reyes, MS NPI is 1578965422. 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:

5700 E. FRANKLIN RD.
SUITE 220-I
NAMPA, ID
ZIP 83687
Phone: (208) 514-9497

The enumeration date for this NPI number is 9/23/2014 and was last updated on 4/1/2016.

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	LPC-5723	IDAHO	No
2	101YP2500X	Counselor	Professional	LPC-5723	IDAHO	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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