Organization Active NPI

Manzanita Family Therapy LLC

  • Marriage & Family Therapist
  • Reno, NV
National Provider Identifier
1255082459
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MANZANITA FAMILY THERAPY LLC
Practice address
1030 Holcomb Ave
Reno, NV 89502-2427
Phone
(775) 453-4604
NPI assigned
Jan 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Mashara Yepez, LMFT
Title
Owner/Therapist
Phone
(775) 453-4604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1030 Holcomb Ave
Reno, NV 89502-2427

Mailing address

1030 Holcomb Ave
Reno, NV 89502-2427
Phone (775) 453-4604

National Provider Directory

National Provider Directory

Locations

1030 Holcomb Ave
Reno, NV 89502
Phone (775) 225-5540

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1255082459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 HOLCOMB AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022427",
            "telephone_number": "775-453-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 HOLCOMB AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022427",
            "telephone_number": "775-453-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANZANITA FAMILY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "YEPEZ",
        "authorized_official_first_name": "MASHARA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "775-453-4604",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "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 Jan 10, 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.