Organization Active NPI

Sierra Agape Couples, Family, and Individual Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minden, NV
National Provider Identifier
1962224998
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SIERRA AGAPE COUPLES, FAMILY, AND INDIVIDUAL THERAPY
Practice address
2854 Jackie Circle
Minden, NV 89423
Phone
(530) 536-8695
NPI assigned
Oct 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Kimball Converse Pier, LMFTNPI 1033303441
Title
President
Phone
(530) 536-8695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2854 Jackie Circle
Minden, NV 89423

Mailing address

PO Box 5
Minden, NV 89423-0005
Phone (530) 536-8695

Other names 1

  • Sierra Agape Therapeutic Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251006001290 NV Part B Supplier - Clinic/Group Practice 7416453626 Receives reassigned benefits from 1 practitioner
Practice locations: Minden, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1962224998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894230005",
            "telephone_number": "530-536-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2854 JACKIE CIRCLE",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "89423",
            "telephone_number": "530-536-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA AGAPE COUPLES, FAMILY, AND INDIVIDUAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-27",
        "status": "A",
        "authorized_official_last_name": "PIER",
        "authorized_official_first_name": "KIMBALL",
        "authorized_official_middle_name": "CONVERSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-536-8695",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Agape Therapeutic Services",
            "code": "5",
            "type": "Other 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 Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.