Individual provider Active NPI

Elizabeth Dear, MFT, LCADC

  • Marriage & Family Therapist
  • Reno, NV
National Provider Identifier
1720253669
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0957 Issued in NV
Practice address
527 Plumas St
Reno, NV 89509-1630
Phone
(775) 348-4696
Fax
(775) 348-4696
NPI assigned
Apr 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0957 NV Primary
Marriage & Family Therapist 106H00000X 40592 CA

Addresses

Primary practice location

527 Plumas St
Reno, NV 89509-1630

Mailing address

527 Plumas St
Reno, NV 89509-1630
Phone (775) 348-4696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 14, 2024 through Feb 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0957NVMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1720253669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 PLUMAS ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895091630",
            "telephone_number": "775-348-4696",
            "fax_number": "775-348-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 PLUMAS ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895091630",
            "telephone_number": "775-348-4696",
            "fax_number": "775-348-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAR",
        "first_name": "ELIZABETH",
        "credential": "MFT, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "0957",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "40592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.