Individual provider Active NPI

Geoffry Kettling, LMFT

  • Mental Health Counselor
  • Reno, NV
National Provider Identifier
1811537798
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMFT4897 Issued in NV
Practice address
770 Mill St
Reno, NV 89502-1321
Phone
(775) 636-7767
NPI assigned
Jan 8, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MI1220 NV
Mental Health Counselor 101YM0800X LMFT4897 NV Primary

Addresses

Primary practice location

770 Mill St
Reno, NV 89502-1321

Mailing address

770 Mill St
Reno, NV 89502-1321
Phone (775) 636-7767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260331003790 NV Practitioner - Marriage and Family Therapist 8921583550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
US Holdings LLCGroup PAC ID 7113289422, 3 clinicians

Practice addresses (Care Compare)

770 Mill St
Reno, NV 89502-1321
Phone (775) 636-7767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT4897NVMDMental Health Counselor
MI1220NVMDMental Health Counselor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1811537798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021321",
            "telephone_number": "775-636-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021321",
            "telephone_number": "775-636-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTLING",
        "first_name": "GEOFFRY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-08",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "MI1220",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "LMFT4897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.