Nevada Electromedical Products LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5275-C Issued in NV

Legal business name

NEVADA ELECTROMEDICAL PRODUCTS LLC

Doing business as

Carson Valley Counseling & Neurotherapy

Practice address

1650 US Highway 395 N Ste 201D
Minden, NV 89423-4332

Phone

(775) 781-9767

Fax

(775) 265-1841

NPI assigned

Mar 18, 2018

Last updated

Mar 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Randall G Jacobs, LCSW

Title

President

Phone

(775) 781-9767

Specialties & licenses 1

Addresses

Other names 1

• Carson Valley Counseling & Neurotherapy Doing business as

Locations

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

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521331200000",
    "number": "1841793650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 US HIGHWAY 395 N STE 201D",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234332",
            "telephone_number": "775-781-9767",
            "fax_number": "775-265-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 US HIGHWAY 395 N STE 201D",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234332",
            "telephone_number": "775-781-9767",
            "fax_number": "775-265-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA ELECTROMEDICAL PRODUCTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-18",
        "last_updated": "2018-03-18",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-781-9767",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5275-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carson Valley Counseling & Neurotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Minden, NV
• Providers in Minden, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2018; 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.