What is Theo Reynolds's NPI number?

Theo Reynolds's National Provider Identifier (NPI) is 1053269936, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Theo Reynolds's specialty?

Theo Reynolds is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Theo Reynolds located?

Theo Reynolds's practice location on file with NPPES is 6810 Broadway Ter, Oakland, CA 94611-1907.

What is Theo Reynolds's phone number?

The practice phone number listed in the NPPES registry for Theo Reynolds is (408) 623-1970.

Is Theo Reynolds's NPI active?

Yes — Theo Reynolds's NPI (1053269936) is active in the NPPES registry as of the last update on 2026-03-17.

IndividualActive

Theo Reynolds

NPI 1053269936 · Mental Health Counselor · Oakland, CA

Theo Reynolds is a Mental Health Counselor provider in Oakland, CA (NPI 1053269936).

Provider details

NPI number: 1053269936
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes
License: C5658 (OR)

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800XLicense C5658 (OR)
Behavioral Health & Social Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

6810 Broadway Ter

Oakland, CA 94611-1907

Phone: (408) 623-1970

Street-level locationGet directions

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Mailing address