NPIMap

Organization Active NPI

Lisa's Rehabilitation Services

  • Mental Health Counselor
  • Reno, NV
National Provider Identifier
1083104087
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LISA'S REHABILITATION SERVICES
Practice address
3650 Warren Way Ste B2
Reno, NV 89509-5240
Phone
(775) 224-9515
Fax
(775) 823-4099
NPI assigned
May 15, 2018
Last updated
May 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa BrewerNPI 1508356528
Title
Owner
Phone
(775) 470-8345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3650 Warren Way Ste B2
Reno, NV 89509-5240

Mailing address

3650 Warren Way Suite B2
C/O J. Pangallo
Reno, NV 89509
Phone (775) 224-9515

National Provider Directory

National Provider Directory

Locations

3650 Warren Way
Ste B2
Reno, NV 89509
Phone (775) 224-9515

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1083104087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 WARREN WAY SUITE B2",
            "address_2": "C/O J. PANGALLO",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89509",
            "telephone_number": "775-224-9515",
            "fax_number": "775-823-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 WARREN WAY STE B2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095240",
            "telephone_number": "775-224-9515",
            "fax_number": "775-823-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA'S REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-470-8345"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.