NPIMap

Organization Active NPI

Alliance Family Services North, Inc.

  • Mental Health Counselor
  • Reno, NV
National Provider Identifier
1679796007
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ALLIANCE FAMILY SERVICES NORTH, INC.
Practice address
1101 W Moana LN
Suite 14
Reno, NV 89509-4775
Phone
(775) 337-2394
NPI assigned
Apr 11, 2007
Last updated
Feb 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Authorized official

Name
Tracey Lange
Title
Director
Phone
(208) 265-5049

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Mental Health Counselor 101YM0800X NU Primary
Professional Counselor 101YP2500X NU
Marriage & Family Therapist 106H00000X NU
Child & Adolescent Psychiatry Physician 2084P0804X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1101 W Moana LN
Suite 14
Reno, NV 89509-4775

Mailing address

608 S Division Ave
Sandpoint, ID 83864-1749

Other identifiers 3

IdentifierTypeStateIssuer
100509367MedicaidNV
100509368MedicaidNV
100511714MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Alliance Family Services North Inc28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1679796007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 S DIVISION AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W MOANA LN",
            "address_2": "SUITE 14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094775",
            "telephone_number": "775-337-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE FAMILY SERVICES NORTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "208-265-5049"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100509367",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100509368",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100511714",
            "state": "NV"
        }
    ],
    "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 Feb 23, 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.