1720201890 NPI number — MRS. JOANNE ELAINE REINTS LPC, NCC, MS, ED SP

Table of content: MRS. JOANNE ELAINE REINTS LPC, NCC, MS, ED SP (NPI 1720201890)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720201890 NPI number — MRS. JOANNE ELAINE REINTS LPC, NCC, MS, ED SP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
REINTS
Provider First Name:
JOANNE
Provider Middle Name:
ELAINE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LPC, NCC, MS, ED SP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LANE
Provider Other First Name:
JOANNE
Provider Other Middle Name:
ELAINE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPC, NCC, MS, ED SP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1720201890
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/04/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 3RD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RAWLINS
Provider Business Mailing Address State Name:
WY
Provider Business Mailing Address Postal Code:
82301-5612
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
307-324-8494
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2001 DEWAR DR.
Provider Second Line Business Practice Location Address:
SUITE 270
Provider Business Practice Location Address City Name:
ROCK SPRINGS
Provider Business Practice Location Address State Name:
WY
Provider Business Practice Location Address Postal Code:
82901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
307-382-3058
Provider Business Practice Location Address Fax Number:
307-382-3258
Provider Enumeration Date:
04/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  LPC1232 , registered in the state of WY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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