Active NPI
Brandi Leanore Hartline, MFT
- Marriage & Family Therapist
- Carson City, NV
National Provider Identifier
1104061399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 01059
- Practice address
- 205 South Pratt St
Carson City, NV 89701-4755 - Phone
- (775) 882-3945
- Fax
- (775) 882-6126
- NPI assigned
- Dec 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 01059 | NV | |
| Marriage & Family Therapist | 106H00000X | 01059 | NV | Primary |
Addresses
Primary practice location
205 South Pratt St
Carson City, NV 89701-4755
Mailing address
205 South Pratt St
Carson City, NV 89701-4755
Phone (775) 882-3945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01059 | NV | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa May PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Reno, NV
- NPI 1902562648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228262400000",
"number": "1104061399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 SOUTH PRATT ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897014755",
"telephone_number": "775-882-3945",
"fax_number": "775-882-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 SOUTH PRATT ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897014755",
"telephone_number": "775-882-3945",
"fax_number": "775-882-6126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTLINE",
"first_name": "BRANDI",
"middle_name": "LEANORE",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-03",
"last_updated": "2008-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "01059",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "01059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.