| Mind And Body Counseling Associates | |
|
4600 Kietzke Ln Ste N250 Reno NV 89502-5000 | |
| (775) 826-4400 | |
| (775) 826-4005 |
| Full Name | Mind And Body Counseling Associates |
|---|---|
| Speciality | Psychologist |
| Location | 4600 Kietzke Ln Ste N250, Reno, Nevada |
| Authorized Official Name and Position | Diana Wright (OWNER) |
| Authorized Official Contact | 7758264400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind And Body Counseling Associates 4600 Kietzke Ln Ste N250 Reno NV 89502-5000 Ph: (775) 826-4400 | Mind And Body Counseling Associates 4600 Kietzke Ln Ste N250 Reno NV 89502-5000 Ph: (775) 826-4400 |
| NPI Number | 1780181248 |
|---|---|
| Provider Enumeration Date | 04/11/2018 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Medicare PECOS PAC ID | 7113263971 |
|---|---|
| Medicare Enrollment ID | O20190115002926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780181248 | NPI | - | NPPES |
| Provider Name | Monique Dugan Stanfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942471313 PECOS PAC ID: 8921185364 Enrollment ID: I20080411000324 |
| Provider Name | James Freeland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467464289 PECOS PAC ID: 5991973281 Enrollment ID: I20150923003264 |
| Provider Name | Jennifer M Mccombs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588901565 PECOS PAC ID: 5496051344 Enrollment ID: I20160302002804 |
| Provider Name | Jacqueline Gay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316250574 PECOS PAC ID: 8921368630 Enrollment ID: I20180126002624 |
| Provider Name | Constance E Hightower |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124376082 PECOS PAC ID: 8224398128 Enrollment ID: I20190204001671 |
| Provider Name | Diana E Wright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790812659 PECOS PAC ID: 4183941776 Enrollment ID: I20190318002293 |
| Provider Name | Cindy M Engel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255560447 PECOS PAC ID: 0244483576 Enrollment ID: I20190605002978 |
| Provider Name | James C Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043765548 PECOS PAC ID: 2961832373 Enrollment ID: I20200427002677 |
| Provider Name | Angela Adami |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750455382 PECOS PAC ID: 0244505006 Enrollment ID: I20200604000134 |
| Provider Name | Salema Coaxum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487021911 PECOS PAC ID: 4082956537 Enrollment ID: I20210416001100 |
| Provider Name | Victoria R Richards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730658303 PECOS PAC ID: 0143639369 Enrollment ID: I20210429000735 |
| Provider Name | Denis G Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962093492 PECOS PAC ID: 0941609739 Enrollment ID: I20210527001460 |
| Provider Name | Aaron V Blackham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841844511 PECOS PAC ID: 6406250695 Enrollment ID: I20210810003154 |
| Provider Name | Evelyn Ann Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811469273 PECOS PAC ID: 7618361825 Enrollment ID: I20220304001292 |
| Provider Name | Amy Center |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740616986 PECOS PAC ID: 1658747423 Enrollment ID: I20221019001083 |
| Provider Name | Sarah Merodio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568122034 PECOS PAC ID: 9537539960 Enrollment ID: I20221229002763 |
| Provider Name | Dana Spaulding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982328522 PECOS PAC ID: 3971968819 Enrollment ID: I20230428001935 |
| Provider Name | Haley Kuykendall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437814266 PECOS PAC ID: 0244697613 Enrollment ID: I20230531002035 |
| Provider Name | Christina Threet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275318677 PECOS PAC ID: 5496103988 Enrollment ID: I20231121003747 |
| Provider Name | Laura Joanne Blauenstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467826719 PECOS PAC ID: 5698123800 Enrollment ID: I20231129000889 |
| Provider Name | Mary E King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760950844 PECOS PAC ID: 2466853429 Enrollment ID: I20231218000880 |
| Provider Name | Georgina Fontein |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871837179 PECOS PAC ID: 9830532464 Enrollment ID: I20240209003216 |
| Provider Name | Wendy Loyd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528450137 PECOS PAC ID: 0941643514 Enrollment ID: I20240210000505 |
| Provider Name | David Reid |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942686449 PECOS PAC ID: 0345684536 Enrollment ID: I20240215001804 |
| Provider Name | Tiffany Blakeman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992281760 PECOS PAC ID: 3577908136 Enrollment ID: I20240305002679 |
| Provider Name | Brian M Chapman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760940068 PECOS PAC ID: 1759728306 Enrollment ID: I20240319002391 |
| Provider Name | Brenda Juarez-castro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578935987 PECOS PAC ID: 9537508981 Enrollment ID: I20240417003076 |
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