Healthcare Provider Details

I. General information

NPI: 1588804025
Provider Name (Legal Business Name): KIMBERLY ANN REUTER MA, LPC NCC CPCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2009
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 E. HWY 66
EL RENO OK
73036-9126
US

IV. Provider business mailing address

2240 ASHLEY PARK DR
PLANO TX
75074-5940
US

V. Phone/Fax

Practice location:
  • Phone: 405-422-8800
  • Fax:
Mailing address:
  • Phone: 480-652-5659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC91180
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC19229
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC005982
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: