Individual provider Active NPI

Telisa Sue Marquez Tobin, M.A.

  • Professional Counselor
  • Sparks, NV
National Provider Identifier
1437526985
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CP5167 Issued in NV
Practice address
10 Sheridan Way
Sparks, NV 89431-2419
Phone
(775) 338-8330
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CP5167 NV Primary
Counselor 101Y00000X

Addresses

Primary practice location

10 Sheridan Way
Sparks, NV 89431-2419

Mailing address

550 W Plumb LN Ste B118
Reno, NV 89509-3468
Phone (775) 338-8330

Other names 1

  • Telisa Sue Marquez Professional name

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 Arts

State licenses

LicenseStateTypeSpecialty
CP5167NVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Garrison, Wiskerchen & Coates, LTD Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1437526985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W PLUMB LN STE B118",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093468",
            "telephone_number": "775-338-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SHERIDAN WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894312419",
            "telephone_number": "775-338-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ TOBIN",
        "first_name": "TELISA",
        "middle_name": "SUE",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP5167",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TELISA",
            "last_name": "MARQUEZ",
            "middle_name": "SUE",
            "credential": "M.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jan 4, 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.