Reno-Sparks Clinic Health

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

RENO-SPARKS CLINIC HEALTH

Doing business as

Behavioral Health

Practice address

1715 Kuenzli St
Reno, NV 89502-1117

Phone

(775) 329-5162

NPI assigned

Feb 7, 2023

Last updated

Feb 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tara Van Orden, DMD, MPH

Title

Chief Dental Officer

Phone

(775) 329-5162

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Behavioral Health Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ricardo Eugenio Hernandez-Pereira, BSW

  • Behavior Analyst
  • Roseville, CA
  • NPI 1891069480
  NPD

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1356047666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 KUENZLI ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021117",
            "telephone_number": "775-329-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 KUENZLI ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021117",
            "telephone_number": "775-329-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENO-SPARKS CLINIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "ORDEN",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "CHIEF DENTAL OFFICER",
        "authorized_official_telephone_number": "775-329-5162",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD, MPH"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497700801",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Reno, NV
• Providers in Reno, NV by specialty
• Addiction (Substance Use Disorder) Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.