Individual provider Active NPI

Roger Hardin, MA

  • Marriage & Family Therapist
  • Reno, NV
National Provider Identifier
1447709092
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2705 Issued in NV
Practice address
1201 Terminal Way Ste 217
Reno, NV 89502-3258
Phone
(775) 624-8200
Fax
(775) 624-8222
NPI assigned
Sep 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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 2705 NV Primary

Addresses

Primary practice location

1201 Terminal Way Ste 217
Reno, NV 89502-3258

Mailing address

1201 Terminal Way Ste 217
Reno, NV 89502-3258
Phone (775) 624-8200

Other practice location 1

1530 E 6th St
Reno, NV 89512-3707
Phone (775) 624-8200 ext. 202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104001710 NV Practitioner - Marriage and Family Therapist 3870032824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
National Medical University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alta Vista Mental Health LLCGroup PAC ID 0042576274, 5 clinicians

Practice addresses (Care Compare)

6880 S McCarran Blvd
Suite 6
Reno, NV 89509-6129
Phone (775) 437-5784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Alta Vista Mental Health LLC CurrentSince Sep 6, 2024 Accepting new patients

Locations

1530 E 6th St
Reno, NV 89512
Phone (775) 322-5757

1201 Terminal Way
Ste 217
Reno, NV 89502
Phone (775) 624-8200

6880 S McCarran Blvd
Ste 6
Reno, NV 89509
Phone (775) 437-5784

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": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1447709092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 TERMINAL WAY STE 217",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023258",
            "telephone_number": "775-624-8200",
            "fax_number": "775-624-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 TERMINAL WAY STE 217",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023258",
            "telephone_number": "775-624-8200",
            "fax_number": "775-624-8222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 E 6th St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895123707",
            "country_code": "US",
            "telephone_number": "775-624-8200 x202",
            "fax_number": "775-624-8222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "ROGER",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-23",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "2705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.