NPIMap

Organization Active NPI

Sequel Alliance Family Services, LLC

  • Mental Health Counselor
  • Fernley, NV
National Provider Identifier
1659793206
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
NV20141007166 Issued in NV
Legal business name
SEQUEL ALLIANCE FAMILY SERVICES, LLC
Practice address
186 E Main St Ste 4
Fernley, NV 89408-7717
Phone
(775) 575-9889
Fax
(775) 575-9890
NPI assigned
Jan 16, 2014
Organization subpart
Yes
Parent organization
SEQUEL TSI HOLDING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Ms. Mary Caudle
Title
Cbo Director of Patient Accounts
Phone
(256) 880-3339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X NV20141007166 NV Primary

Addresses

Primary practice location

186 E Main St Ste 4
Fernley, NV 89408-7717

Mailing address

1131 Eagletree LN SW
Huntsville, AL 35801-6478
Phone (256) 880-3339

National Provider Directory

National Provider Directory
Tax ID family
Sequel Alliance Family Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1659793206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 EAGLETREE LN SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016478",
            "telephone_number": "256-880-3339",
            "fax_number": "256-880-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 E MAIN ST STE 4",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894087717",
            "telephone_number": "775-575-9889",
            "fax_number": "775-575-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUEL ALLIANCE FAMILY SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEQUEL TSI HOLDING, LLC",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "CAUDLE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CBO DIRECTOR OF PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "256-880-3339",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "NV20141007166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernley, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.