Individual provider Active NPI

Tandi Nikole Maginnis, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Carson City, NV
National Provider Identifier
1699113233
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
06919-C Issued in NV
Practice address
788 Fairview Dr
Carson City, NV 89701-5790
Phone
(775) 882-3945
Fax
(775) 882-6126
NPI assigned
Jun 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 06919-C NV Primary

Addresses

Primary practice location

788 Fairview Dr
Carson City, NV 89701-5790

Mailing address

205 S Pratt Ave
Carson City, NV 89701-4730
Phone (775) 882-3945

Other practice location 1

205 S Pratt Ave
Carson City, NV 89701-4730
Phone (775) 882-3945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
06919-CNVMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1699113233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S PRATT AVE",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014730",
            "telephone_number": "775-882-3945",
            "fax_number": "775-882-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 FAIRVIEW DR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015790",
            "telephone_number": "775-882-3945",
            "fax_number": "775-882-6126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 S Pratt Ave",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897014730",
            "country_code": "US",
            "telephone_number": "775-882-3945",
            "fax_number": "775-882-6126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGINNIS",
        "first_name": "TANDI",
        "middle_name": "NIKOLE",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "06919-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.