Active NPI
Jacquelyn Kleinedler, MFT, LADC
- Marriage & Family Therapist
- Reno, NV
National Provider Identifier
1295024560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 01049
- Practice address
- 1005 Forest St
Reno, NV 89509-2706 - Phone
- (775) 329-4582
- NPI assigned
- Apr 7, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 01049 | NV | Primary |
Addresses
Primary practice location
1005 Forest St
Reno, NV 89509-2706
Mailing address
1005 Forest St
Reno, NV 89509-2706
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01049 | NV | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302134400000",
"number": "1295024560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 FOREST ST",
"city": "RENO",
"state": "NV",
"postal_code": "895092706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 FOREST ST",
"city": "RENO",
"state": "NV",
"postal_code": "895092706",
"telephone_number": "775-329-4582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEINEDLER",
"first_name": "JACQUELYN",
"credential": "MFT, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-07",
"last_updated": "2011-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "01049",
"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 Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.