Matthias John Reynolds, LMFT, MAR
Marriage & Family Therapist in Atlanta, GA. Individual provider (NPI-1).
NPI number1407198625
StatusActive
Last updated in NPPESJun 22, 2021
Details
- NPI
- 1407198625
- Entity type
- Individual (NPI-1)
- Name
- Matthias John Reynolds
- Credential
- LMFT, MAR
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 26, 2013
- Certification date
- Jun 22, 2021
- Last updated
- Jun 22, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 001285 | GA | Yes |
Practice location
1417 Dutch Valley Pl NeAtlanta, GA 30324-5399
Phone 404-939-7712
Mailing address
1417 Dutch Valley Pl NeAtlanta, GA 30324-5399
Phone 404-939-7712
Other practice locations
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