MOUNTAIN CIRCLE FAMILY SERVICES, INC. (NPI# 1023075082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023075082 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN CIRCLE FAMILY SERVICES, INC. |
| Practice Address |
4600 Kietzke Ln Suite B112 Reno NV 89502-5033 |
| Mailing Address |
Po Box 554 Greenville CA 95947-0554 |
| Practice Telephone | 7758259995 |
| Practice Fax Number | 7758259877 |
| Mailing Telephone | 5302847007 |
| Mailing Fax Number | 5302847111 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS BRENDA SUE O'BRYANT (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5302847007 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477766251 | Mountain Circle Family Services, Inc. | Public Health or Welfare | 4600 Kietzke Lane, Suite B112, Reno, NV 89502 | 2007-05-08 |
| 1417093360 | Mountain Circle Family Services, Inc. | Public Health or Welfare | 4600 Kietzke Ln, Reno, NV 89502-5033 | 2007-01-29 |
| 1679619522 | Mountain Circle Family Services, Inc. | Public Health or Welfare | 4600 Kietzke Ln, Reno, NV 89502-5033 | 2007-01-29 |
| 1588700439 | Mountain Circle Family Services, Inc. | Public Health or Welfare | 4600 Kietzke Ln, Reno, NV 89502-5033 | 2007-01-29 |
| Street Address |
4600 KIETZKE LN SUITE B112 |
| City | RENO |
| State | NV |
| Zip Code | 89502-5033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375972 | Edgar Gerardo Lopez Mora | Case Manager/Care Coordinator | 4600 Kietzke Ln, Reno, NV 89502-5033 | 2020-10-27 |
| 1750858031 | Shane Jones | Counselor | 4600 Kietzke Ln, Reno, NV 89502-5033 | 2018-10-25 |
| 1205379740 | Nicholas Lowe | Counselor | 4600 Kietzke Ln, Reno, NV 89502-5033 | 2016-12-01 |
| 1205379013 | Annie Trent | Counselor | 4600 Kietzke Ln, J-212, Reno, NV 89502-5033 | 2016-11-28 |
| 1497297295 | Chelsea Van Kruyssen | Counselor | 4600 Kietzke Ln, #j212, Reno, NV 89502-5033 | 2016-11-09 |
| 1467906438 | Trudy Warner | Rehabilitation Practitioner | 4600 Kietzke Ln, Suite O - 260, Reno, NV 89502-5033 | 2016-08-08 |
| 1770936957 | Sarah Verness | Social Worker | 4600 Kietzke Ln, Suite 0-260, Reno, NV 89502 | 2016-07-22 |
| 1154774479 | Alyssa Catherine Fajayan | Social Worker | 4600 Kietzke Ln, Suite O-260, Reno, NV 89502-5033 | 2016-07-21 |
| 1134588387 | Samuel C. Winter Do Pllc | Family Medicine | 4600 Kietzke Ln, K-221, Reno, NV 89502-5033 | 2016-02-16 |
| 1083087266 | Sage Health Services, LLC | Community/Behavioral Health | 4600 Kietzke Ln, Ste. M-246, Reno, NV 89502-5033 | 2015-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376097980 | Passport Health | Public Health or Welfare | 890 Mill St Ste 301, Reno, NV 89502-1436 | 2016-08-11 |
| 1477766251 | Mountain Circle Family Services, Inc. | Public Health or Welfare | 4600 Kietzke Lane, Suite B112, Reno, NV 89502 | 2007-05-08 |
| 1386857167 | Mountain Circle | Public Health or Welfare | 4600 Kietzke Ln Ste O260, Reno, NV 89502-5046 | 2007-05-08 |
| 1417093360 | Mountain Circle Family Services, Inc. | Public Health or Welfare | 4600 Kietzke Ln, Reno, NV 89502-5033 | 2007-01-29 |
| 1760528616 | Mountain Circle Family Services, Inc | Public Health or Welfare | 4600 Kietzke Ln, Reno, NV 89502-5033 | 2007-01-29 |
| 1679619522 | Mountain Circle Family Services, Inc. | Public Health or Welfare | 4600 Kietzke Ln, Reno, NV 89502-5033 | 2007-01-29 |
| 1588700439 | Mountain Circle Family Services, Inc. | Public Health or Welfare | 4600 Kietzke Ln, Reno, NV 89502-5033 | 2007-01-29 |
| 1477699320 | Mountain Circle Family Services, Inc | Public Health or Welfare | 4600 Kietzke Ln, Reno, NV 89502-5033 | 2007-01-29 |
| 1851437701 | Mountain Circle Family Service, Inc. | Public Health or Welfare | 4600 Kietzke Ln, Reno, NV 89502-5033 | 2007-01-29 |
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|---|---|---|---|---|
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| 1730658998 | Changing Tomorrows LLC | Public Health or Welfare | 3620 Markam St, Las Vegas, NV 89121-2922 | 2018-11-17 |
| 1477902906 | Jimmy Lampkin Jr. | Public Health or Welfare | 6275 Boulder Hwy, Apt 2027, Las Vegas, NV 89122-7462 | 2016-06-06 |
| 1801292446 | Division of Health Care Financing and Policy | Public Health or Welfare | 1100 E William St, Carson City, NV 89701-3112 | 2014-11-10 |
| 1699907725 | Nevada State Health Division/far Nursin | Public Health or Welfare | 26 Nevin Way, Yerington, NV 89447-2327 | 2009-08-24 |
| 1851523971 | Nevada State Health Division | Public Health or Welfare | 331 1st Street, Hawthorne, NV 89415 | 2009-08-24 |
| 1407088537 | Nevada State Health Division/far Nursin | Public Health or Welfare | 250 N. Hwy. 160, Ste 6, Pahrump, NV 89060-4016 | 2009-08-24 |
| 1639302763 | Nevada State Health Division/far Nursin | Public Health or Welfare | 535 Western Ave, Lovelock, NV 89419-1987 | 2009-08-24 |
| 1407088529 | Nevada State Health Division | Public Health or Welfare | #1 Frankie Avenue, Tonopah, NV 89049 | 2009-08-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.