NPIMap

Organization Active NPI

Project Uplift LLC

  • Counselor
  • Reno, NV
National Provider Identifier
1619254299
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
PROJECT UPLIFT LLC
Practice address
5925 Omaha St
Reno, NV 89506-8813
Phone
(775) 379-0748
NPI assigned
Nov 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Mr. Alonzo Hickerson
Title
Owner Operator
Phone
(775) 379-0748

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C-2101 NV

Addresses

Primary practice location

5925 Omaha St
Reno, NV 89506-8813

Mailing address

2300 Harvard Way # 105
Reno, NV 89502-4002
Phone (775) 379-0748

Other identifiers 1

IdentifierTypeStateIssuer
1619008281MedicaidNV

Other names 1

  • project uplift llc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Project Up-Lift LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1619254299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HARVARD WAY # 105",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024002",
            "telephone_number": "775-379-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 OMAHA ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895068813",
            "telephone_number": "775-379-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT UPLIFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "HICKERSON",
        "authorized_official_first_name": "ALONZO",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "775-379-0748",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "C-2101",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619008281",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "project uplift llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 9, 2011; 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.