Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivelisse A Reyes

Individual provider Professional Counselor · NPI 1124776976

Ivelisse A Reyes is a Mental Health Counselor in Bound Brook, New Jersey. Qualified in 2012, 14 years ago. Practices with Senior Care Therapy LLC, a 142-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
14
Licensed in
NJ
In the registry since
2022

Practice location Address checks out

339 W 2nd St
Bound Brook, NJ 08805-1833
Phone: (732) 356-1082
Fax: (732) 356-6327
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 37AC00210800 (NJ)

Record details

NPI number1124776976
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 11, 2022
Last updated in NPPESMarch 11, 2022
Certification dateMarch 9, 2022
Mailing address339 W 2nd St, Bound Brook, NJ 08805-1833

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Senior Care Therapy Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bound Brook