Provider Demographics
NPI:1982673299
Name:CUMMINGS, RON (MFT, LADC)
Entity Type:Individual
Prefix:MR
First Name:RON
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:MFT, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 S VIRGINIA ST STE 822
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501-1391
Mailing Address - Country:US
Mailing Address - Phone:775-324-5700
Mailing Address - Fax:775-686-2401
Practice Address - Street 1:200 S VIRGINIA ST STE 822
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-1391
Practice Address - Country:US
Practice Address - Phone:775-324-5700
Practice Address - Fax:775-686-2401
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0658106H00000X
0658101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1982673299Medicaid