JESSICA JANE RESTUCH (NPI# 1316597685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316597685 |
Entity Type | Individual |
Full Name | JESSICA JANE RESTUCH |
Credential | MFT-I |
Practice Address |
10655 Park Run Dr Ste 210 Las Vegas NV 89144-4590 |
Mailing Address |
5931 Allanche Ave Las Vegas NV 89141-0443 |
Practice Telephone | 7026252342 |
Mailing Telephone | 6129866853 |
Enumeration Date | 2019-09-18 |
Last Update Date | 2019-09-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 106H00000X | Marriage & Family Therapist | MI1131 | NV | Behavioral Health & Social Service Providers |
Y | 101YS0200X |
Counselor Specialization: School |
MI1131 | NV | Behavioral Health & Social Service Providers |
Street Address |
10655 PARK RUN DR STE 210 |
City | LAS VEGAS |
State | NV |
Zip Code | 89144-4590 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659728590 | Julie Richards | Behavioral Analyst | 10655 Park Run Dr Ste 210, Las Vegas, NV 89144-4590 | 2016-05-20 |
1942812250 | Ohana Health and Wellness Pllc | Counselor | 10655 Park Run Dr Ste 210, Las Vegas, NV 89144-4590 | 2020-08-18 |
1003439175 | Red Rock Counseling | Clinic/Center | 10655 Park Run Dr Ste 210, Las Vegas, NV 89144-4590 | 2020-05-24 |
1336773258 | Anna Trujillo-defronzo | Marriage & Family Therapist | 10655 Park Run Dr Ste 210, Las Vegas, NV 89144-4590 | 2020-02-29 |
1376173039 | Kristina Esposito | Marriage & Family Therapist | 10655 Park Run Dr Ste 210, Las Vegas, NV 89144-4590 | 2020-01-22 |
1649815317 | Elena Petsas | Counselor | 10655 Park Run Dr Ste 210, Las Vegas, NV 89144-4590 | 2019-11-16 |
1386295764 | Allison Vigil | Marriage & Family Therapist | 10655 Park Run Dr Ste 210, Las Vegas, NV 89144-4590 | 2019-09-26 |
1336798362 | Alexander Lindamood | Behavioral Analyst | 10655 Park Run Dr Ste 210, Las Vegas, NV 89144-4590 | 2019-09-11 |
1831546779 | Karen Harden | Behavioral Analyst | 10655 Park Run Dr Ste 210, Las Vegas, NV 89144-4590 | 2016-05-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033609599 | Anila Naz | Technician | 1529 Waterton Drive, Las Vegas, NV 89144 | 2018-05-10 |
1467987487 | Judith L. Tan | Nurse Practitioner | Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 2017-04-27 |
1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
1619324662 | Sydney Spoon | Dietitian, Registered | 624 Canyon Greens Dr, Las Vegas, NV 89144 | 2016-05-19 |
1629455985 | Md24 Nv, Inc. | Nurse Practitioner | 1180 North Town Center Dr, Ste 100, Las Vegas, NV 89144 | 2015-05-06 |
1053652628 | Melvin Lackey Jr. | Behavioral Analyst | 10708 Esk Dr, Las Vegas, NV 89144 | 2013-03-07 |
1740445667 | Jaydee R. Lumbad | Family Medicine | 1111 N Town Center Drive, Las Vegas, NV 89144 | 2008-07-21 |
1700053824 | Samim Enayat | Internal Medicine | 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 | 2008-05-08 |
1629252457 | Edmund Reyes Goroza | Pediatrics | 10105 Banburry Cross Dr Ste 170, Las Vegas, NV 89144 | 2007-12-28 |
1730375262 | H.l.greenberg M.d., Ltd. | Clinic/Center | 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 | 2007-09-18 |
Find all providers in zip 89144 |
Taxonomy Code | 101YS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174949911 | Leah Hundley | Counselor | 6765 W Charleston Blvd Ste 110, Las Vegas, NV 89146-2001 | 2014-03-17 |
1669804779 | Christopher Trevor Moore | Counselor | 6260 W Brooks Ave, Las Vegas, NV 89108-4357 | 2013-07-31 |
1740446020 | Darren E Jacobs Sr. | Counselor | 315 S 7th St, Las Vegas, NV 89101-5801 | 2008-08-05 |
1578001871 | Colleen Pautz | Counselor | 2740 S Jones Blvd, Las Vegas, NV 89146-5306 | 2017-02-07 |
1578994943 | Alexis Cottman | Counselor | 3885 S Decatur Blvd, Las Vegas, NV 89103-5855 | 2013-12-10 |
1518301357 | Cherisse Ann Mccullers | Counselor | 2832 E Flamingo Rd, Las Vegas, NV 89121-5205 | 2013-04-23 |
1124388400 | Kristina Frances Weckesser | Counselor | 4285 N Rancho Dr Ste 130, Las Vegas, NV 89130-3455 | 2012-05-21 |
1154589943 | Silvia Cisneros | Counselor | 5615 S Pecos Rd, Las Vegas, NV 89120-1961 | 2008-05-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174068514 | Robert Carter Jr. | Counselor | 686 Ladywood Ln, Henderson, NV 89002-8274 | 2016-12-20 |
1033524210 | Geneva E Hewitt | Counselor | 825 Copper Moon Ln, North Las Vegas, NV 89031-1908 | 2014-06-25 |
1538352166 | Candia Alea Tolbert | Counselor | 895 Roberta Ln Ste 101, Sparks, NV 89431-6802 | 2007-08-27 |
1740759141 | Cheryl Ann Joyce | Counselor | 6531 Annie Oakley Dr, Henderson, NV 89014-2166 | 2018-11-15 |
1033473160 | Martha Lynn Williams | Counselor | 3925 N Martin L King Blvd, Ste 208, North Las Vegas, NV 89032-7673 | 2012-07-04 |
1992000996 | Renee Carrico | Counselor | 495 Apple St, Suite 225, Reno, NV 89502-3553 | 2011-01-21 |
1073832432 | Susan Doctor | Counselor | 205 S Minnesota St, Carson City, NV 89703-4269 | 2010-05-25 |
Please comment or provide details below to improve the information on JESSICA JANE RESTUCH.
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.