Mary Anne Charles

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

855 Mill St Ste 1a
Reno, NV 89502-1499

Phone

(775) 501-8655

NPI assigned

Mar 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Northern Nevada Behavioral Health Systems LLC

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1609337633

  Single Specialty

  NPD

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1114674777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 MILL ST STE 1A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021499",
            "telephone_number": "775-501-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 MILL ST STE 1A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021499",
            "telephone_number": "775-501-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcharles@northernnbh.com",
            "affiliation": "N",
            "address_1": "855 Mill St Ste 1A",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895021499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcharles@northernnbh.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "855 Mill St Ste 1A",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895021499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mcharles@northernnbh.com",
            "affiliation": "N",
            "address_1": "855 Mill St Ste 1A",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895021499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard A Charlat, MD
• Charles Cordova, DDS, P.C. (Affordable Dentures & Implants - Reno)
• Charles Filippini, M.D. LTD
• Charles S. Price, M.D., LTD
• Jacob W Charles
• Virgil Charles, PMHNP
• Marie Andree Charleston
• Holliann Charm, DPT
• Jared Anthony Chase, PH.D., BCBA-D
• Lorrie Chase

• Peer Specialist in Reno, NV
• Providers in Reno, NV by specialty
• Peer Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.