Individual provider Active NPI

Dianne Marie Springborn, LCADC-S, CPGC-S, MFT

  • Counselor
  • Reno, NV
National Provider Identifier
1487091419
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MFC 18427 Issued in CA
Practice address
1725 S McCarran Blvd
Reno, NV 89502-9513
Phone
(775) 954-1400
Fax
(775) 954-1406
NPI assigned
May 31, 2013
Last updated
May 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 00119-G NV
Counselor 101Y00000X MFC 18427 CA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 00104LC NV

Addresses

Primary practice location

1725 S McCarran Blvd
Reno, NV 89502-9513

Mailing address

1725 S McCarran Blvd
Reno, NV 89502-9513
Phone (775) 954-1400

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

State licenses

LicenseStateTypeSpecialty
MFC 18427CAMDCounselor
00119-GNVMDCounselor
00104LCNVMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bristlecone Family Resources 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1487091419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895029513",
            "telephone_number": "775-954-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895029513",
            "telephone_number": "775-954-1400",
            "fax_number": "775-954-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGBORN",
        "first_name": "DIANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCADC-S, CPGC-S, MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NV",
            "license": "00119-G",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "MFC 18427",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00104LC",
            "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 May 31, 2013; 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.