MOUNTAIN SUMMITS LLC (NPI# 1336606342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336606342 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN SUMMITS LLC |
| Practice Address |
2520 Saint Rose Pkwy Ste 204 Henderson NV 89074-7785 |
| Practice Telephone | 7029913150 |
| Practice Fax Number | 8666584052 |
| Mailing Telephone | 7029913150 |
| Mailing Fax Number | 8666584052 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |
| Authorized Official Name | DAVID CLARK (MANAGING PARTNER) |
| Authorized Official Telephone | 7029913150 |
| Authorized Official Credential | MFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
2520 SAINT ROSE PKWY STE 204 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-7785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930949 | James C Stroud | Counselor | 7525 State Highway 64 W, Henderson, TX 75652-9021 | 2020-07-28 |
| 1700428414 | Tawnia M Lindal | Counselor | 525 Engel Ave, Henderson, NV 89011-4355 | 2019-10-14 |
| 1811538317 | Nicole Mcdonagh | Counselor | 2520 Saint Rose Pkwy Ste 220a, Henderson, NV 89074-7789 | 2019-10-05 |
| 1710540729 | James Allan Hagman | Counselor | 401 Hoffman Dr Ste L, Henderson, KY 42420-3390 | 2019-04-16 |
| 1356810337 | Kevin A Webster | Counselor | 203 S Water St Unit 200, Henderson, NV 89015-7226 | 2018-11-19 |
| 1952890089 | Natalie Dolan | Counselor | 309 W Lake Mead Pkwy Ste 100, Henderson, NV 89015-7056 | 2018-05-03 |
| 1528556321 | Lance Everett Sellers | Counselor | 975 Seven Hills Dr Apt 3315, Henderson, NV 89052-4324 | 2018-04-26 |
| 1316440308 | Micah Jovan Smith | Counselor | 2501 N Green Valley Pkwy Ste 116-118, Henderson, NV 89014-0273 | 2018-03-15 |
| 1871091892 | Crenguta Raluca Heim | Counselor | 2050 W Warm Springs Rd Unit 1121, Henderson, NV 89014-5526 | 2018-01-24 |
| 1396258414 | Margaret L. Fagan | Counselor | 7 S Water St Ste A, Henderson, NV 89015-7250 | 2017-11-10 |
| 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.