SHASTA SKYLER RAEL (NPI# 1023254091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023254091 |
| Entity Type | Individual |
| Full Name | SHASTA SKYLER RAEL |
| Practice Address |
1100 W. 21st Clovis NM 88101 |
| Practice Telephone | 5757422620 |
| Mailing Telephone | 5757692345 |
| Mailing Fax Number | 5757699031 |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2015-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0134861 | NM | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
0118461 | NM | Behavioral Health & Social Service Providers |
| Street Address |
1100 W. 21ST |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790850923 | Clarke A. Brunton Jr. | Psychiatry & Neurology | 1100 W. 21st, Clovis, NM 88101 | 2006-11-22 |
| 1144762899 | Lisa K Agan | Case Manager/Care Coordinator | 1100 W. 21st, Clovis, NM 88101 | 2016-11-11 |
| 1518379874 | Gina Stewart | Counselor | 1100 W. 21st, Clovis, NM 88101 | 2014-05-21 |
| 1033403878 | David A Mcvey | Counselor | 1100 W. 21st, Clovis, NM 88101 | 2011-06-08 |
| 1891009817 | Brenda Richardson | Counselor | 1100 W. 21st, Clovis, NM 88101 | 2010-08-02 |
| 1457507022 | Alison Deluca | Psychiatry & Neurology | 1100 W. 21st, Clovis, NM 88101 | 2008-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306491568 | Ramage Marriage & Family Therapy, Inc. | Counselor | 264 Clovis Ave # 202, Clovis, CA 93612-1115 | 2019-08-05 |
| 1205320975 | Jonathan Thao | Counselor | 1960 Fairmont Ave, Clovis, CA 93611-4151 | 2018-06-18 |
| 1518482678 | Janeesha Pleasant | Counselor | 1621 Sutter Pl, Clovis, NM 88101-4610 | 2017-08-10 |
| 1679018626 | Cassandra Aldaz | Counselor | 3341 Loyola Ave, Clovis, CA 93619-7200 | 2016-12-29 |
| 1912453176 | Felicia A. Dobbs | Counselor | 100 Scottsdale Dr, Clovis, NM 88101-2739 | 2016-08-28 |
| 1578948360 | Sandra Whiting | Counselor | 3017 N Prince St, Suite B, Clovis, NM 88101-3804 | 2015-07-22 |
| 1346634730 | Sharon Miller | Counselor | 2200 Las Palomas Rd, Clovis, NM 88101-4345 | 2015-03-24 |
| 1235569559 | Restored Hope Counseling, LLC | Counselor | 801 Pile St, Suite 202, Clovis, NM 88101-6643 | 2013-11-22 |
| 1669805222 | David Brian Macmaster | Counselor | 2778 Hampton Way, Clovis, CA 93611-5570 | 2013-08-17 |
| 1013352400 | Lula Mae Brown | Counselor | Matt 25 1200 North Thornton Street, Clovis, NM 88101 | 2013-04-30 |
| Find all providers in CLOVIS | ||||
Please comment or provide details below to improve the information on SHASTA SKYLER RAEL.
| 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.