Mountain Meadow Counseling Services PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MOUNTAIN MEADOW COUNSELING SERVICES PLLC

Practice address

10794 Stone Hollow Dr
Reno, NV 89521-6282

Phone

(775) 386-2333

NPI assigned

Oct 30, 2023

Last updated

Nov 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline Williams, LCSWNPI 1780084954

Title

Manager/LCSW

Phone

(775) 386-2333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Tolson Williams, LCSW

  • Clinical Social Worker
  • Reno, NV
  • NPI 1780084954
  NPD Authorized official

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699142400000",
    "number": "1720850043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 DAMONTE RANCH PKWY",
            "address_2": "STE. B, #228",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10794 STONE HOLLOW DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216282",
            "telephone_number": "775-386-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MEADOW COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "MANAGER/LCSW",
        "authorized_official_telephone_number": "775-386-2333",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Circle Family Services, Inc.
• Mountain Circle Family Services, Inc.
• Mountain Circle Family Services, Inc.
• Mountain Crest Therapy LLC
• Mountain Employee Assistance Program
• Mountain Sage Mental Health
• Mountain West Derm - Blackhart PLLC
• Mountain West Surgical Center, LLC
• Matthew Mountain, RBT
• Monica Mousa, PH.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Reno, NV
• Providers in Reno, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2023; 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.