Active NPI
Robin Wardwell-Wood, M.A.
- Marriage & Family Therapist
- Reno, NV
National Provider Identifier
1053781583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0629
- Practice address
- 85 Kirman Ave Ste 200
Reno, NV 89502-1340 - Phone
- (775) 982-2862
- Fax
- (775) 982-2865
- NPI assigned
- Sep 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0000050203 | NV | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 451-L | NV | |
| Marriage & Family Therapist | 106H00000X | 0629 | NV | Primary |
Addresses
Primary practice location
85 Kirman Ave Ste 200
Reno, NV 89502-1340
Mailing address
1155 Mill St # M14
Reno, NV 89502-1576
Phone (775) 982-5262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0629 | Other | NV | NEVADA STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000050203 | NV | MD | Counselor |
| 451-L | NV | MD | Addiction (Substance Use Disorder) Counselor |
| 0629 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Services LLC | Current | Accepting new patients | |
| Community Care Services LLC | Current | Accepting new patients | |
| Community Care Services LLC | Current | Accepting new patients | |
| Community Care Services LLC | Marriage & Family Therapist | Past | Accepting new patients |
Locations
10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860
1155 Mill St
#M14
Reno, NV 89502
Phone (775) 258-1970
85 Kirman Ave
Ste 200
Reno, NV 89502
Phone (775) 982-2862
1155 Mill St
#14
Reno, NV 89502
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Reno, NV
- NPI 1720031768
-
- Diagnostic Radiology Physician
- Reno, NV
- NPI 1053272989
-
- Surgery Physician
- Reno, NV
- NPI 1811468374
-
- Psychiatry Physician
- Reno, NV
- NPI 1932670478
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1053781583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 MILL ST # M14",
"city": "RENO",
"state": "NV",
"postal_code": "895021576",
"telephone_number": "775-982-5262",
"fax_number": "775-982-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 KIRMAN AVE STE 200",
"city": "RENO",
"state": "NV",
"postal_code": "895021340",
"telephone_number": "775-982-2862",
"fax_number": "775-982-2865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARDWELL-WOOD",
"first_name": "ROBIN",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-27",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NV",
"license": "0000050203",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "451-L",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "0629",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA STATE LICENSE",
"identifier": "0629",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.