Kelly Lynn Pistone

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

00677-C Issued in NV

Practice address

8255 Opal Ranch Way
Reno, NV 89506-7789

Phone

(775) 305-7171

NPI assigned

Aug 1, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Kelly Lynn Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1497001093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 DOUBLE R BLVD APT 4013",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895213845",
            "telephone_number": "775-502-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8255 OPAL RANCH WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895067789",
            "telephone_number": "775-305-7171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 Mill St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021321",
            "country_code": "US",
            "telephone_number": "775-954-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PISTONE",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "01275",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00677-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "JOHNSON",
            "middle_name": "LYNN",
            "credential": "CADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Victoria Pirraglia, M.D.
• Paul Robert Pirruccello, D.C.
• Danea Pirtle
• Gregory J Pisani, DDS
• Fariccio Andrew Pistone
• Jacqueline Pistorello, PH.D.
• Sujatha Pitani, MD
• Cindy R. Pitlock, APN, CNM
• Daniel Kenneth Pitman, RN
• Emma Sue Pitman

• Addiction (Substance Use Disorder) Counselor in Reno, NV
• Providers in Reno, NV by specialty
• Addiction (Substance Use Disorder) Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.