NPIMap

Organization Active NPI

Carson City Community Counseling Center

  • Substance Abuse Rehabilitation Facility
  • Carson City, NV
National Provider Identifier
1437596426
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CARSON CITY COMMUNITY COUNSELING CENTER
Practice address
788 Fairview Dr
Carson City, NV 89701-5790
Phone
(775) 882-3945
Fax
(775) 882-6126
NPI assigned
May 30, 2013
Last updated
Dec 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Tandi Maginnis, CADCNPI 1699113233
Title
Regional Wellness Center Director
Phone
(775) 882-3945

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X CC-02 10115 NV
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

788 Fairview Dr
Carson City, NV 89701-5790

Mailing address

205 S Pratt Ave
Carson City, NV 89701-4730
Phone (775) 882-3945

Other practice location 1

900 E Long St
Carson City, NV 89706-3129
Phone (775) 841-3223

National Provider Directory

National Provider Directory
Tax ID family
Carson City Community Counseling Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1437596426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S PRATT AVE",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014730",
            "telephone_number": "775-882-3945",
            "fax_number": "775-882-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 FAIRVIEW DR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015790",
            "telephone_number": "775-882-3945",
            "fax_number": "775-882-6126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E Long St",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897063129",
            "country_code": "US",
            "telephone_number": "775-841-3223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARSON CITY COMMUNITY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "MAGINNIS",
        "authorized_official_first_name": "TANDI",
        "authorized_official_title_or_position": "REGIONAL WELLNESS CENTER DIRECTOR",
        "authorized_official_telephone_number": "775-882-3945",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NV",
            "license": "CC-02 10115",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.