NPIMap

Organization Active NPI

Maple Star Nevada

  • Counselor
  • Reno, NV
National Provider Identifier
1821549270
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MI0550 Issued in NV
Legal business name
MAPLE STAR NEVADA
Practice address
4773 Caughlim Pkwy
Suite 2
Reno, NV 89519
Phone
(775) 677-2216
NPI assigned
Oct 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Tina Marie Groves
Title
Therapist Intern
Phone
(775) 677-2216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X MI0550 NV Primary

Addresses

Primary practice location

4773 Caughlim Pkwy
Suite 2
Reno, NV 89519

Mailing address

4773 Caughlin Pkwy
Suite 2
Reno, NV 89519-1011
Phone (775) 677-2216

National Provider Directory

National Provider Directory
Tax ID family
Maple Star Nevada LLC41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1821549270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4773 CAUGHLIN PKWY",
            "address_2": "SUITE 2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895191011",
            "telephone_number": "775-677-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4773 CAUGHLIM PKWY",
            "address_2": "SUITE 2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89519",
            "telephone_number": "775-677-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE STAR NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "THERAPIST INTERN",
        "authorized_official_telephone_number": "775-677-2216"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NV",
            "license": "MI0550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 20, 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.