Jeffrey Allen
Individual provider Active NPI Marriage & Family Therapist · Sparks, NV
NPI 1124339213 · NPPES record last updated Mar 27, 2025
Key facts
- NPI
- 1124339213
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 0764 (NV)
- Practice address
- PO Box 51831
Sparks, NV 89435-1831 - Phone
- (775) 848-9392
- NPI assigned
- Jun 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0764 | NV | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Based Counseling of Nevada | Marriage & Family Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0764 | NV | Yes |
Addresses
Primary practice location
PO Box 51831
Sparks, NV 89435-1831
Mailing address
2748 Kimberlite Rd
Sparks, NV 89436-4110
Phone (775) 848-9392
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124339213 | Medicaid | NV |
Other providers in Sparks, NV
- Domoni Alexander
- Christina Lee Alkire
- All About Words SLP LLC
- Bernadette Allen
- Glenda Lee Allen
- Michael Young Allen
- Murphy T Allen
- Alana Margaret Alley
- Alpenglow Wellness LLC
- Alpha Productions Technologies, Inc.
All providers in Sparks, NV · Marriage & Family Therapist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.