Provider Demographics
NPI:1831294958
Name:COUNSELING OPPORTUNITIES, INC
Entity Type:Organization
Organization Name:COUNSELING OPPORTUNITIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:VELASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:775-323-7799
Mailing Address - Street 1:PO BOX 7782
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89510-7782
Mailing Address - Country:US
Mailing Address - Phone:775-323-7799
Mailing Address - Fax:
Practice Address - Street 1:3710 GRANT DR
Practice Address - Street 2:SUITE K
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-5309
Practice Address - Country:US
Practice Address - Phone:775-323-7799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV768-L101YA0400X
NV137-C101YA0400X
NV1148-L101YA0400X
NVPY0121103TC0700X
NV01821-C1041C0700X
NV700106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVS68198Medicare UPIN
NV31547Medicare ID - Type Unspecified