Jennifer Calloway Ross, M.A., MFT, LADC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

01198 Issued in NV

Practice address

691 Sierra Rose Dr
Suite B
Reno, NV 89511-4000

Phone

(775) 825-2503

Fax

(775) 825-2509

NPI assigned

Feb 12, 2010

Last updated

Jul 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Calloway Dustin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1972835163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 SIERRA ROSE DR",
            "address_2": "SUITE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114000",
            "telephone_number": "775-825-2503",
            "fax_number": "775-825-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 SIERRA ROSE DR",
            "address_2": "SUITE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114000",
            "telephone_number": "775-825-2503",
            "fax_number": "775-825-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JENNIFER",
        "middle_name": "CALLOWAY",
        "credential": "M.A., MFT, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-12",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "01198",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "01505",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DUSTIN",
            "middle_name": "CALLOWAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ross E. Waltz PT (A.T.S. Physical Therapy)
• Ross Wetsel, DDS, LTD.
• Ali Christine Ross, PT, DPT
• Ashail K Ross
• Diane C Ross, MS SLP CCC
• Kimberly Ross
• Llois Lillian Ross, RN
• Lynda J Ross, PH.D
• Mason S Ross
• Michael Frank Ross, RD

• Marriage & Family Therapist in Reno, NV
• Providers in Reno, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.