NPIMap

Organization Active NPI

Red Dog Counseling

  • Early Intervention Provider Agency
  • Fallon, NV
National Provider Identifier
1790146447
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
00569-P Issued in NV
Legal business name
RED DOG COUNSELING
Practice address
90 N Maine St
Fallon, NV 89406-2956
Phone
(775) 636-3941
NPI assigned
Mar 9, 2016
Last updated
Mar 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Debbie McBride, MA, CDVC, PADC
Title
Owner/Counselor
Phone
(775) 636-3941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 00569-P NV Primary

Addresses

Primary practice location

90 N Maine St
Fallon, NV 89406-2956

Mailing address

583 Peaceful Way
Fallon, NV 89406
Phone (775) 636-3941

Other identifiers 1

IdentifierTypeStateIssuer
1679815906OtherNVNPI

National Provider Directory

National Provider Directory

Locations

90 N Maine St
Fallon, NV 89406
Phone (775) 636-3941

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1790146447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 PEACEFUL WAY",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "89406",
            "telephone_number": "775-636-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 N MAINE ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894062956",
            "telephone_number": "775-636-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED DOG COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "775-636-3941",
        "authorized_official_credential": "MA, CDVC, PADC"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NV",
            "license": "00569-P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679815906",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallon, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.