Organization Active NPI

Great Basin Therapy and Resources

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1275215204
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GREAT BASIN THERAPY AND RESOURCES
Practice address
5150 Mae Anne Avenue Ste 405 #5228
Reno, NV 89523-8952
Phone
(775) 225-9337
NPI assigned
Aug 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Shannon M Rebiejo, LCSWNPI 1558723650
Title
Sole Member
Phone
(775) 225-9337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5150 Mae Anne Avenue Ste 405 #5228
Reno, NV 89523-8952

Mailing address

5150 Mae Anne Avenue Ste 405 #5228
Reno, NV 89523
Phone (775) 225-9337

National Provider Directory

National Provider Directory

Locations

5150 Mae Anne Ave
Ste 405
Reno, NV 89523
Phone (775) 747-0600

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": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1275215204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 MAE ANNE AVENUE STE 405 #5228",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89523",
            "telephone_number": "775-225-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 MAE ANNE AVENUE STE 405 #5228",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895238952",
            "telephone_number": "775-225-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT BASIN THERAPY AND RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "REBIEJO",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "775-225-9337",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "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 1, 2023; 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.