MR. JERROD GRANGER CRONSHAW (NPI# 1396240032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396240032 |
| Entity Type | Individual |
| Full Name | MR. JERROD GRANGER CRONSHAW |
| Credential | LCADC-I |
| Practice Address |
714 E Sahara Ave Las Vegas NV 89104-2942 |
| Mailing Address |
3364 Indian Shadow St Unit 203 Las Vegas NV 89129-8637 |
| Practice Telephone | 7023698700 |
| Practice Fax Number | 7023698489 |
| Mailing Telephone | 7025820846 |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
714 E SAHARA AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89104-2942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609920784 | Community Counseling Center | Community/Behavioral Health | 714 E Sahara Ave, Las Vegas, NV 89104-2942 | 2007-01-23 |
| 1265930952 | Melissa Hannah Chernoff | Counselor | 714 E Sahara Ave, Las Vegas, NV 89104-2942 | 2018-01-27 |
| 1235507633 | Community Counseling Center | Community/Behavioral Health | 714 E Sahara Ave, Las Vegas, NV 89104-2942 | 2015-09-02 |
| 1306231261 | Community Counseling Center | Case Management | 714 E Sahara Ave, Las Vegas, NV 89104-2942 | 2015-03-30 |
| 1568855401 | Community Counseling Center | Community/Behavioral Health | 714 E Sahara Ave, Las Vegas, NV 89104-2942 | 2015-03-17 |
| 1275947194 | James Wicks-stephens | Counselor | 714 E Sahara Ave, Las Vegas, NV 89104-2942 | 2014-06-18 |
| 1750791489 | Sherry Suggs | Counselor | 714 E Sahara Ave, Las Vegas, NV 89104-2942 | 2014-05-02 |
| 1962812669 | Dustin Tomblin | Counselor | 714 E Sahara Ave, Las Vegas, NV 89104-2942 | 2014-05-02 |
| 1124438833 | Margaret Moroun | Counselor | 714 E Sahara Ave, Las Vegas, NV 89104-2942 | 2014-05-02 |
| 1194065532 | April Watson | Counselor | 714 E Sahara Ave, Las Vegas, NV 89104-2942 | 2013-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550635 | Comfort Care Senior Services LLC | In Home Supportive Care | 1601 S Sandhill Rd, 62, Las Vegas, NV 89104 | 2020-08-26 |
| 1508484734 | Accessible Space Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1405 South Mojave Rd, Las Vegas, NV 89104 | 2020-07-14 |
| 1003448333 | Shirley Lauren Valenzona-gianan | Pharmacist | Smith's Pharmacy #318, 4965 East Sahara Avenue, Las Vegas, NV 89104 | 2020-02-05 |
| 1427602713 | Alma Lucia Lozano-vargas | Chore Provider | 1785 E. Sahara Ave. Suite 485, Las Vegas, NV 89104 | 2019-07-25 |
| 1396398947 | Martinez Antuan Coates | Psychologist | 1755 Palm St Bld T Apt147, Las Vegas, NV 89104 | 2019-07-23 |
| 1982171518 | Ian Sande | Occupational Therapist | 1500 West Warm Springs Rd, Las Vegas, NV 89104 | 2018-11-01 |
| 1215436563 | A Better Life In Home Care, LLC | Technician | 1810 East Sahara Avenue, Suite 216, Las Vegas, NV 89104 | 2018-02-01 |
| 1891202016 | Nevada Helping Hands LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1810 E Sahara Ave Ste 143, Las Vegas, NV 89104 | 2018-01-09 |
| 1760901581 | Fannie Bell | Counselor | 1800 E. Sahara Suite 104, Las Vegas, NV 89104 | 2017-09-13 |
| 1386162147 | Jaclyn Mustachio | Social Worker | 1860 E Sahara Ave, Las Vegas, NV 89104 | 2017-08-31 |
| Find all providers in zip 89104 | ||||
| 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 |
|---|---|---|---|---|
| 1649885906 | Danielle Monique Edwards | Counselor | 230 Mission Catalina Ln, Las Vegas, NV 89107-2711 | 2020-09-14 |
| 1548873748 | Jamye Ann Miller | Counselor | 213 Shadow Ln, Las Vegas, NV 89106-4338 | 2020-08-26 |
| 1629687538 | Nicholas James Dayton | Counselor | 2038 Palm St Spc 78, Las Vegas, NV 89104-4833 | 2020-07-27 |
| 1215559935 | Elizabeth Marie Brescia | Counselor | 501 S Rancho Dr # 33, Las Vegas, NV 89106-4828 | 2020-05-15 |
| 1871128983 | Mirielys Merayo Mejias | Counselor | 3954 Parkhaven Dr, Las Vegas, NV 89120-1311 | 2020-03-09 |
| 1497394316 | Morgan Faye Mccallister | Counselor | 4059 Pistachio Nut Ave, Las Vegas, NV 89115-1294 | 2019-12-23 |
| 1154968311 | Simone Allison Bailey | Counselor | 5060 W Hacienda Ave Apt 2004, Las Vegas, NV 89118-0340 | 2019-12-06 |
| 1558824250 | Cherelle Porche | Counselor | 12020 Southern Highlands Pkwy Apt 1136, Las Vegas, NV 89141-3006 | 2019-04-09 |
| 1508325606 | Latonya Bell | Counselor | 7883 Salt Spray Ct, Las Vegas, NV 89139-6115 | 2019-03-18 |
| 1346708591 | Annali Euredjian | Counselor | 8440 Westcliff Dr Apt 2043, Las Vegas, NV 89145-3913 | 2019-03-06 |
| Find all providers in LAS VEGAS | ||||
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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.