Individual provider Active NPI

Patricia L Evans, M.S. MFT INTERN

  • Marriage & Family Therapist
  • Sparks, NV
National Provider Identifier
1275893570
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MI0335 Issued in NV
Practice address
860 Tyler Way
Sparks, NV 89431-2172
Phone
(775) 356-0371
Fax
(775) 356-2896
NPI assigned
May 21, 2012
Last updated
May 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MI0335 NV Primary

Addresses

Primary practice location

860 Tyler Way
Sparks, NV 89431-2172

Mailing address

PO Box 7031
Reno, NV 89510-7031
Phone (775) 560-1097

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MI0335NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
American Comprehensive Counseling Services Past Accepting new patients
Sierra Dragonfly Center LLC Marriage & Family Therapist PastSince Jun 11, 2023 Accepting new patients
Meridian Health Marriage & Family Therapist PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 3

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": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1275893570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7031",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895107031",
            "telephone_number": "775-560-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 TYLER WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894312172",
            "telephone_number": "775-356-0371",
            "fax_number": "775-356-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "M.S. MFT INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI0335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.

Verify at the official NPI Registry.