Active NPI
Kizungu Japhet Byalungwe
- Counselor
- Reno, NV
National Provider Identifier
1245588391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1280 Terminal Way Ste 5
Reno, NV 89502-3242 - Phone
- (775) 322-0669
- Fax
- (775) 424-2888
- NPI assigned
- Aug 21, 2012
- Last updated
- Aug 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1280 Terminal Way Ste 5
Reno, NV 89502-3242
Mailing address
1280 Terminal Way Ste 5
Reno, NV 89502-3242
Phone (775) 322-0669
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Possibilities of Northern Nevada | Counselor | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345507200000",
"number": "1245588391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1280 TERMINAL WAY STE 5",
"city": "RENO",
"state": "NV",
"postal_code": "895023242",
"telephone_number": "775-322-0669",
"fax_number": "775-424-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 TERMINAL WAY STE 5",
"city": "RENO",
"state": "NV",
"postal_code": "895023242",
"telephone_number": "775-322-0669",
"fax_number": "775-424-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYALUNGWE",
"first_name": "KIZUNGU",
"middle_name": "JAPHET",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-21",
"last_updated": "2012-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.