SOMAKHANDEN PARK MI4032 AND CI5055
NPI 1326583154
Marriage & Family Therapist in Reno, NV

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since January 03, 2017Opted out of Medicare · through Sep 18, 2026

695 SIERRA ROSE DR, RENO, NV 89511(774) 453-4143 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 20, 2022, Jan 7, 2021, Aug 29, 2018 and 2 more (5 updates tracked since 2017).

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About Somakhanden Park Mi4032 And Ci5055 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOMAKHANDEN PARK MI4032 AND CI5055 (NPI 1326583154) is an individual marriage & family therapist in Reno, Nevada, licensed in Nevada (MI4032) and active in the NPI registry since January 2017. She has opted out of Medicare through September 18, 2026.

NPPES Registry Identity

NPI1326583154

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSOMAKHANDEN PARKCredential: MI4032 AND CI5055

Location Address695 SIERRA ROSE DRReno, NV 89511-2060

Mailing Address695 Sierra Rose DrReno, NV 89511-2060 · (775) 453-4143

Phone(774) 453-4143

Sole ProprietorYes

Enumeration DateJanuary 3, 2017

Last NPPES UpdateMay 20, 20225 updates tracked since enumeration

NPPES CertifiedMay 20, 2022

✔ NPI 1326583154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in NV · MI4032✔ Licensed in WI · 727-228

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License CI5055 (NV)

695 SIERRA ROSE DR, Reno, NV 89511

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Somakhanden Park Mi4032 And Ci5055 has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 18, 2024 through September 18, 2026.

Opt-Out Effective DateSeptember 18, 2024

Opt-Out In Effect ThroughSeptember 18, 2026Opt-out affidavits renew automatically every two years unless cancelled