EDWARD L FENN (NPI# 1023274768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023274768 |
| Entity Type | Individual |
| Full Name | EDWARD L FENN |
| Credential | LCSW |
| Practice Address |
3005 W Horizon Ridge Pkwy Henderson NV 89052-5029 |
| Mailing Address |
3620 E Chablis N Pahrump NV 89048-4841 |
| Practice Telephone | 7024282870 |
| Mailing Telephone | 7024282870 |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2019-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 7358-C | NV | Behavioral Health & Social Service Providers |
| Street Address |
3005 W HORIZON RIDGE PKWY |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-5029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326157058 | Gerald Casas | Obstetrics & Gynecology | 3005 W Horizon Ridge Pkwy, Ste. 100, Henderson, NV 89052-5029 | 2006-08-29 |
| 1255709291 | Shannon Creme | Marriage & Family Therapist | 3005 W Horizon Ridge Pkwy, Ste 100, Henderson, NV 89052-5029 | 2015-09-08 |
| 1033509815 | Emilia Kowalski | Marriage & Family Therapist | 3005 W Horizon Ridge Pkwy, Ste 101, Henderson, NV 89052-5029 | 2015-01-30 |
| 1528471489 | Kimberly Williams | Social Worker | 3005 W Horizon Ridge Pkwy, Ste 300, Henderson, NV 89052-5029 | 2014-06-09 |
| 1578840005 | Aaron Nicolaides | Social Worker | 3005 W Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052-5029 | 2011-11-11 |
| 1205068905 | Bruce Felter | Social Worker | 3005 W Horizon Ridge Pkwy, Ste. 101, Henderson, NV 89052-5029 | 2009-08-13 |
| 1710131578 | Gerald Casas, M.d., Ltd | Obstetrics & Gynecology | 3005 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052-5029 | 2008-11-06 |
| 1033233085 | Elena Langdon | Obstetrics & Gynecology | 3005 W Horizon Ridge Pkwy, Ste. 100, Henderson, NV 89052-5029 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314140 | Kirsten Kilburn | Counselor | 46 Aldrin Cir, Henderson, NV 89015-6103 | 2020-07-23 |
| 1518575166 | Madeleine Metcalf | Counselor | 2424 Rue Bienville Way, Henderson, NV 89044-0432 | 2020-07-20 |
| 1376165431 | Lindsay R Clanagan | Counselor | 2824 Dunnottar Ave, Henderson, NV 89044 | 2020-05-12 |
| 1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
| 1821637406 | Robert William Allen | Counselor | 2831 Saint Rose Pkwy # 227, Henderson, NV 89052-4840 | 2019-12-31 |
| 1720649155 | Clark County Counseling LLC | Counselor | 1546 W Warm Springs Rd Ste 120, Henderson, NV 89014-4326 | 2019-06-26 |
| 1093370405 | Miguel Casiano | Counselor | 320 Conestoga Way Apt 6110, Henderson, NV 89002-9713 | 2019-05-01 |
| 1710499397 | Tammy Michele Jetton | Counselor | 202 Fullerton Ave, Henderson, NV 89015-5223 | 2017-11-03 |
| 1538670096 | Kristi Orgill Pace | Counselor | 111 S Gibson Rd Apt 622, Henderson, NV 89012-2670 | 2017-10-23 |
| 1699292904 | Westcare Nevada Inc | Counselor | 2501 N Green Valley Pkwy Ste 117-119, Henderson, NV 89014-0273 | 2017-08-28 |
| Find all providers in HENDERSON | ||||
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| 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.