Individual provider Active NPI

Janice L Maddox, LMFT

  • Marriage & Family Therapist
  • Reno, NV
National Provider Identifier
1083908107
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0913 Issued in NV
Practice address
305 Stewart St
Reno, NV 89502-1606
Phone
(775) 384-2442
Fax
(775) 473-7164
NPI assigned
Jun 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LADC01558-L NV
Marriage & Family Therapist 106H00000X 0913 NV Primary

Addresses

Primary practice location

305 Stewart St
Reno, NV 89502-1606

Mailing address

240 S Humahuaca St
Pahrump, NV 89048-2199
Phone (775) 751-7406

Other identifiers 1

IdentifierTypeStateIssuer
100533699MedicaidNV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209003448 NV Practitioner - Marriage and Family Therapist 0244673887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
State of NevadaGroup PAC ID 9234022153, 57 clinicians

Practice addresses (Care Compare)

240 S Humahuaca St
Pahrump, NV 89048-2199
Phone (775) 751-7406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LADC01558-LNVMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada CurrentSince Jan 1, 2024 Accepting new patients
State of Nevada Current Accepting new patients
State of Nevada CurrentSince Jan 1, 2024 Accepting new patients
State of Nevada Past Accepting new patients
State of Nevada Past Accepting new patients

Locations

1665 Old Hot Springs Rd
Ste 150
Carson City, NV 89706
Phone (775) 687-0870

4150 Technology Way
Ste 100
Carson City, NV 89706

1825 Pinion Rd
Ste A
Elko, NV 89801
Phone (775) 738-8021

1675 Avenue F
Ely, NV 89301
Phone (775) 288-9167

141 Keddie St
Fallon, NV 89406
Phone (775) 423-7141

415 US Highway 95A S
Bldg 1
Fernley, NV 89408
Phone (775) 575-7744

1528 US Highway 395 N
Ste 100
Gardnerville, NV 89410
Phone (775) 687-2160

240 S Humahuaca St
Pahrump, NV 89048
Phone (775) 751-7406

475 W Haskell St
Winnemucca, NV 89445
Phone (775) 623-6580

215 W Bridge St
Ste 5
Yerington, NV 89447
Phone (775) 463-3191

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1083908107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S HUMAHUACA ST",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890482199",
            "telephone_number": "775-751-7406",
            "fax_number": "775-751-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 STEWART ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021606",
            "telephone_number": "775-384-2442",
            "fax_number": "775-473-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "JANICE",
        "middle_name": "L",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "LADC01558-L",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "0913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100533699",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.