Individual provider Active NPI

Kathleen Carol Clifford, MFT INTERN, NCC

  • Mental Health Counselor
  • Reno, NV
National Provider Identifier
1134429624
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
556 California Ave
Reno, NV 89509-1450
Phone
(775) 420-0366
NPI assigned
Oct 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

556 California Ave
Reno, NV 89509-1450

Mailing address

556 California Ave
Reno, NV 89509-1450
Phone (775) 420-0366

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
I20240307000460 NV Practitioner - Marriage and Family Therapist 3274979711 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Alliance Current Accepting new patients
Community Health Alliance CurrentSince Mar 11, 2024 Accepting new patients
Community Health Alliance CurrentSince Mar 11, 2024 Accepting new patients
Silver State Counseling and Therapy LLC Past Accepting new patients

Locations

1055 S Wells Ave
#120
Reno, NV 89502
Phone (775) 336-3021

3915 Neil Rd
Reno, NV 89502
Phone (775) 870-4333

680 S Rock Blvd
Reno, NV 89502
Phone (775) 336-3003

280 Vista Knoll Pkwy
Ste 107
Reno, NV 89506
Phone (775) 250-0607

1055 S Wells Ave
Reno, NV 89502
Phone (775) 829-6300

330 Crampton St
Reno, NV 89502
Phone (775) 336-3700

2244 Oddie Blvd
Sparks, NV 89431
Phone (775) 997-7300

5055 Sun Valley Blvd
Ste 100
Sun Valley, NV 89433
Phone (775) 870-4334

Organizations & group practices 4

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": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1134429624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 CALIFORNIA AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895091450",
            "telephone_number": "775-420-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 CALIFORNIA AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895091450",
            "telephone_number": "775-420-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFFORD",
        "first_name": "KATHLEEN",
        "middle_name": "CAROL",
        "credential": "MFT INTERN, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.