Organization Active NPI

Black Rock Therapy and Wellness

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1679228951
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLACK ROCK THERAPY AND WELLNESS
Practice address
360 W Liberty St
Reno, NV 89501-2012
Phone
(775) 224-2372
NPI assigned
Feb 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Vicoria Richards, LCSW
Title
Owner
Phone
(775) 224-2373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

360 W Liberty St
Reno, NV 89501-2012

Mailing address

360 W Liberty St
Reno, NV 89501-2012
Phone (775) 224-2372

Other names 1

  • Victoria Richards Therapy and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

360 W Liberty St
Reno, NV 89501
Phone (775) 224-2372

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1679228951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W LIBERTY ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895012012",
            "telephone_number": "775-224-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W LIBERTY ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895012012",
            "telephone_number": "775-224-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK ROCK THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "VICORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-224-2373",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victoria Richards Therapy and Wellness",
            "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 Feb 15, 2022; 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.