Healthcare Provider Details

I. General information

NPI: 1275016727
Provider Name (Legal Business Name): REED ALLEN M.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2018
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 CHATHAM RD # 8354
SPRINGFIELD IL
62704-4188
US

IV. Provider business mailing address

375 GREENBRIAR DR
CRETE IL
60417-1110
US

V. Phone/Fax

Practice location:
  • Phone: 815-545-3778
  • Fax:
Mailing address:
  • Phone: 815-545-3778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number20775
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180013520
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: