Active NPI
Rachel Arvella Pryde, LCSW
- Clinical Social Worker
- Minden, NV
National Provider Identifier
1831450915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8049-C
- Practice address
- 1644 Highway 395 N
Suite D
Minden, NV 89423 - Phone
- (307) 880-7224
- NPI assigned
- Jun 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW79420 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW-930 | WY | |
| Clinical Social Worker | 1041C0700X | PCSW-496 | WY | |
| Clinical Social Worker | 1041C0700X | 496 | WY | |
| Clinical Social Worker | 1041C0700X | 8049-C | NV | Primary |
Addresses
Primary practice location
1644 Highway 395 N
Suite D
Minden, NV 89423
Mailing address
1644 Highway 395 N
Suite D
Minden, NV 89423
Phone (307) 880-7224
Other practice location 1
383 N. Main St.
Thayne, WY 83127
Phone (307) 880-7224
Other practice location 2
1021 Fremont Ave
South Lake Tahoe, CA 96150-8136
Phone (307) 880-7224
Other names 1
- Rachel Arvella Jaynes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW79420 | CA | MD | Clinical Social Worker |
| 8049-C | NV | MD | Clinical Social Worker |
| 496 | WY | MD | Clinical Social Worker |
| LCSW-930 | WY | MD | Clinical Social Worker |
| PCSW-496 | WY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tree House Therapy, LLC | Current | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Minden, NV
- NPI 1124974118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548979200000",
"number": "1831450915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1644 HIGHWAY 395 N",
"address_2": "SUITE D",
"city": "MINDEN",
"state": "NV",
"postal_code": "89423",
"telephone_number": "307-880-7224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1644 HIGHWAY 395 N",
"address_2": "SUITE D",
"city": "MINDEN",
"state": "NV",
"postal_code": "89423",
"telephone_number": "307-880-7224"
}
],
"practiceLocations": [
{
"address_1": "383 N. Main St.",
"address_purpose": "LOCATION",
"city": "Thayne",
"state": "WY",
"postal_code": "83127",
"country_code": "US",
"telephone_number": "307-880-7224",
"fax_number": "307-224-4973",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1021 Fremont Ave",
"address_purpose": "LOCATION",
"city": "South Lake Tahoe",
"state": "CA",
"postal_code": "961508136",
"country_code": "US",
"telephone_number": "307-880-7224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRYDE",
"first_name": "RACHEL",
"middle_name": "ARVELLA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-05",
"last_updated": "2019-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW79420",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "LCSW-930",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "PCSW-496",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "496",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "8049-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "JAYNES",
"middle_name": "ARVELLA",
"credential": "PCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Minden, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.