Individual provider Active NPI

Marcy M. Reddicks, M.A., MFT, LADC

  • Marriage & Family Therapist
  • Reno, NV
National Provider Identifier
1477625507
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT0979 Issued in NV
Practice address
421 E. Plumb Lane
#E
Reno, NV 89509
Phone
(775) 688-1617
Fax
(775) 688-1641
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0979 NV
Marriage & Family Therapist 106H00000X MFT0979 NV Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LADC617 NV

Addresses

Primary practice location

421 E. Plumb Lane
#E
Reno, NV 89509

Mailing address

59 Damonte Ranch Parkway
B355
Reno, NV 89521
Phone (775) 688-1617

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
LADC617NVMDAddiction (Substance Use Disorder) Counselor
0979NVMDMarriage & Family Therapist
MFT0979NVMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1477625507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 DAMONTE RANCH PARKWAY",
            "address_2": "B355",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89521",
            "telephone_number": "775-688-1617",
            "fax_number": "775-688-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E. PLUMB LANE",
            "address_2": "#E",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89509",
            "telephone_number": "775-688-1617",
            "fax_number": "775-688-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDICKS",
        "first_name": "MARCY",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "M.A., MFT, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "0979",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MFT0979",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "LADC617",
            "primary": false
        }
    ],
    "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 Mar 8, 2010; 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.