NPIMap

Organization Active NPI

Renovation Mental Health Services, LLC

  • Community/Behavioral Health Agency
  • Reno, NV
National Provider Identifier
1649615683
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20121629044 Issued in NV
Legal business name
RENOVATION MENTAL HEALTH SERVICES, LLC
Practice address
495 Apple St Ste 100
Reno, NV 89502-3527
Phone
(775) 525-0270
NPI assigned
May 3, 2013
Last updated
Mar 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Amanda Nielsen, LCSWNPI 1003182049
Title
Owner
Phone
(775) 525-0270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NV20121629044 NV Primary

Addresses

Primary practice location

495 Apple St Ste 100
Reno, NV 89502-3527

Mailing address

495 Apple St Ste 100
Reno, NV 89502-3527

Other practice location 1

495 Parr Cir
Reno, NV 89512-1005
Phone (775) 323-9903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140722000441 NV Part B Supplier - Clinic/Group Practice 9638395080 Receives reassigned benefits from 8 practitioners
Practice locations: Reno, NV

National Provider Directory

National Provider Directory

Locations

255 W Moana Ln
Ste 104
Reno, NV 89509
Phone (775) 525-0270

495 Parr Cir
Reno, NV 89512
Phone (775) 323-9903

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1649615683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 APPLE ST STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 APPLE ST STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023527",
            "telephone_number": "775-525-0270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "495 Parr Cir",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895121005",
            "country_code": "US",
            "telephone_number": "775-323-9903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENOVATION MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-525-0270",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20121629044",
            "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 Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.