Organization Active NPI

Rengade Counseling Associates LLC

  • Community/Behavioral Health Agency
  • Reno, NV
National Provider Identifier
1447798574
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20151739907 Issued in NV
Legal business name
RENGADE COUNSELING ASSOCIATES LLC
Practice address
527 Humboldt St
Reno, NV 89509-1603
Phone
(775) 348-4900
Fax
(774) 348-4922
NPI assigned
Feb 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Authorized official

Name
Charla Ann Rush, MS, LADC
Title
Clinical Director/Partner
Phone
(775) 348-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NV20151739907 NV Primary

Addresses

Primary practice location

527 Humboldt St
Reno, NV 89509-1603

Mailing address

527 Humboldt Street
Reno, NV 89509
Phone (775) 348-4900

National Provider Directory

National Provider Directory

Locations

527 Humboldt St
Reno, NV 89509
Phone (775) 287-0232

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1447798574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 HUMBOLDT STREET",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89509",
            "telephone_number": "775-348-4900",
            "fax_number": "774-348-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 HUMBOLDT ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895091603",
            "telephone_number": "775-348-4900",
            "fax_number": "774-348-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENGADE COUNSELING ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "CHARLA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/PARTNER",
        "authorized_official_telephone_number": "775-348-4900",
        "authorized_official_credential": "MS, LADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20151739907",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 9, 2017; 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.