Organization Active NPI

Mak Counseling

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1770115750
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MAK COUNSELING
Practice address
1201 Terminal Way Ste 202
Reno, NV 89502-3395
Phone
(530) 580-8848
NPI assigned
Feb 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Megan Kornbluth, LCSWNPI 1568948685
Title
Owner
Phone
(805) 708-4180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1201 Terminal Way Ste 202
Reno, NV 89502-3395

Mailing address

15473 Archery VW
Truckee, CA 96161-1415
Phone (805) 708-4180

Other names 1

  • MAK Counseling Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address makcounseling@megankornbluth.com Direct

National Provider Directory

National Provider Directory

Locations

1201 Terminal Way
Ste 202
Reno, NV 89502
Phone (530) 580-8848

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1770115750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15473 ARCHERY VW",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961611415",
            "telephone_number": "805-708-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 TERMINAL WAY STE 202",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023395",
            "telephone_number": "530-580-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAK COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "KORNBLUTH",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-708-4180",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "makcounseling@megankornbluth.com",
            "affiliation": "N",
            "endpointDescription": "professional email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMail",
            "address_1": "1201 Terminal Way Ste 202",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895023395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MAK Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "MAK Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Nov 10, 2020; 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.