Mickey R Alegria, MFT, LADC, EDS
Individual provider Active NPI Marriage & Family Therapist · Sparks, NV
NPI 1053591925 · NPPES record last updated Nov 8, 2007
Key facts
- NPI
- 1053591925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 0677 (NV)
- Practice address
- 738 Prater Way
Sparks, NV 89431-4466 - Phone
- (775) 741-4531
- Fax
- (775) 828-9465
- NPI assigned
- Nov 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 423 | NV | MD | Addiction (Substance Use Disorder) Counselor |
| 0677 | NV | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 423 | NV | |
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 0677 | NV | Yes |
Addresses
Primary practice location
738 Prater Way
Sparks, NV 89431-4466
Mailing address
PO Box 2248
Reno, NV 89505-2248
Phone (775) 741-4531
Other providers in Sparks, NV
- Adriane Amana Alcala Moss
- Bianka Guadalupe Alcala
- Rebekah Alcantara
- Arlida Abundo Alcuaz
- Alexis Aldama
- Iskandar Ra Alexandar
- Domoni Alexander
- Christina Lee Alkire
- All About Words SLP LLC
- Bernadette Allen
All providers in Sparks, NV · Marriage & Family Therapist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.