Craig W Merrill, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0810 Issued in NV

Practice address

860 Tyler Way
Sparks, NV 89431-2172

Phone

(775) 356-1908

Fax

(775) 356-3736

NPI assigned

Jul 18, 2007

Last updated

Jul 18, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 1, 2024 through Feb 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sierra Counseling Center

  • Community/Behavioral Health Agency
  • Sparks, NV
  • NPI 1225409881
  NPD (past) Authorized official

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1679773766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 TYLER WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894312172",
            "telephone_number": "775-356-1908",
            "fax_number": "775-356-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 TYLER WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894312172",
            "telephone_number": "775-356-1908",
            "fax_number": "775-356-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "CRAIG",
        "middle_name": "W",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "673-L",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "0810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Menesini
• Balbine Mengu
• Stephanie Lois Meny, FNP-C
• Janisha Mercado
• Chelsey Michelle Merlino, NDTR
• Melissa Elizabeth Merrill
• Kelsie Merritt, PT, DPT
• Leanne Beth Mesa
• Kristie Lee Messerli, RD
• Allie Nicole Metoyer, LCSW

• Marriage & Family Therapist in Sparks, NV
• Providers in Sparks, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.