Healthcare Provider Details

I. General information

NPI: 1700796067
Provider Name (Legal Business Name): MONICA MINTER CPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 MOUNT ROSE ST
RENO NV
89509-3355
US

IV. Provider business mailing address

PO BOX 342
SILVER SPRINGS NV
89429-0342
US

V. Phone/Fax

Practice location:
  • Phone: 775-448-6828
  • Fax: 775-799-3337
Mailing address:
  • Phone: 775-344-8293
  • Fax: 775-799-3337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCP5906-R
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: