Individual provider Active NPI

Caroline Ansleigh Adams Breland, MFT-I

  • Marriage & Family Therapist
  • Reno, NV
National Provider Identifier
1295436897
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MI4400 Issued in NV
Practice address
491 Court St
Reno, NV 89501-1708
Phone
(775) 525-8103
NPI assigned
Mar 13, 2023
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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 MI4400 NV Primary

Addresses

Primary practice location

491 Court St
Reno, NV 89501-1708

Mailing address

4275 W 4TH St Unit 327
Reno, NV 89523-8824
Phone (318) 578-3782

Other practice location 1

622 Riverside Dr
Monroe, LA 71201-6211
Phone (337) 794-6090

Other practice location 2

201 W Liberty St
Reno, NV 89501-2067
Phone (775) 525-8103

Other identifiers 1

IdentifierTypeStateIssuer
MI4400OtherNVMARRIAGE AND FAMILY THERAPIST INTERN

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

LicenseStateTypeSpecialty
MI4400NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Wellness of Reno LLC Marriage & Family Therapist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/32843/brand/2/csg/1/fhir/r4

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": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1295436897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 W 4TH ST UNIT 327",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895238824",
            "telephone_number": "318-578-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 COURT ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895011708",
            "telephone_number": "775-525-8103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712016211",
            "country_code": "US",
            "telephone_number": "337-794-6090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 W Liberty St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895012067",
            "country_code": "US",
            "telephone_number": "775-525-8103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS BRELAND",
        "first_name": "CAROLINE",
        "middle_name": "ANSLEIGH",
        "credential": "MFT-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI4400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE AND FAMILY THERAPIST INTERN",
            "identifier": "MI4400",
            "state": "NV"
        }
    ],
    "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 29, 2024; 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.