Individual provider Active NPI

Jessica Alice Feldman, LCSW

  • Mental Health Counselor
  • Reno, NV
National Provider Identifier
1861775322
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
6490 S McCarran Blvd Ste 6
Reno, NV 89509-6165
Phone
(775) 448-9760
Fax
(775) 448-9761
NPI assigned
Sep 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 7040-C NV
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

6490 S McCarran Blvd Ste 6
Reno, NV 89509-6165

Mailing address

2065 Tawleed Rd
Reno, NV 89521-4322
Phone (775) 830-5377

Other practice location 1

838 E 6th St
Los Angeles, CA 90021-1028
Phone (213) 623-8446 ext. 244

Other names 1

  • Jessica Alice Koch Former name

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
I20180123003567 NV Practitioner - Clinical Social Worker 4880953611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Minds LLCGroup PAC ID 5597073601, 18 clinicians

Practice addresses (Care Compare)

6490 S McCarran Blvd
Suite A6
Reno, NV 89509-6119
Phone (775) 448-9760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Minds, LLC CurrentSince Dec 29, 2017 Accepting new patients

Locations

6490 S McCarran Blvd
Ste A6
Reno, NV 89509
Phone (775) 448-9760

6490 S McCarran Blvd
Ste 6
Reno, NV 89509
Phone (775) 448-9760

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": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1861775322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 TAWLEED RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214322",
            "telephone_number": "775-830-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 S MCCARRAN BLVD STE 6",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096165",
            "telephone_number": "775-448-9760",
            "fax_number": "775-448-9761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "838 E 6th St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900211028",
            "country_code": "US",
            "telephone_number": "213-623-8446 x244",
            "fax_number": "213-896-1880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "JESSICA",
        "middle_name": "ALICE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "7040-C",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "KOCH",
            "middle_name": "ALICE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.