THELMA ROSE SIMON (NPI# 1457610131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457610131 |
| Entity Type | Individual |
| Full Name | THELMA ROSE SIMON |
| Other Name | THELMA ROSE THOMAS |
| Credential | LADC, BSW |
| Practice Address |
112 North Reservation Road Fort Mcdermitt Indian Health Service Mcdermitt NV 89421 |
| Mailing Address |
9714 Margarita Street Mcdermitt NV 89421 |
| Practice Telephone | 7755328522 |
| Practice Fax Number | 7755328024 |
| Mailing Telephone | 7755328522 |
| Mailing Fax Number | 7755328204 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2013-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
767-L | NV | Behavioral Health & Social Service Providers |
| Street Address |
112 NORTH RESERVATION ROAD FORT MCDERMITT INDIAN HEALTH SERVICE |
| City | MCDERMITT |
| State | NV |
| Zip Code | 89421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871634360 | Leora Rose Greenwood | Physician Assistant | 112 North Reservation Road, Mcdermitt, NV 89421-0055 | 2007-02-09 |
| 1316449291 | Ft. Mcdermitt Paiute Shoshone Tribe | Clinic/Center | 112 North Reservation Road, Mcdermitt, NV 89421-0315 | 2018-03-06 |
| 1518416577 | Public Health Service Ihs Mcdermitt Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 112 North Reservation Road, Mcdermitt, NV 89421 | 2016-09-30 |
| 1417233057 | Stacy Irene Rust | Registered Nurse | 112 North Reservation Road, Mcdermitt, NV 89421-0457 | 2011-10-27 |
| 1275820524 | Rodney Dale Burow | Physician Assistant | 112 North Reservation Road, Ihs Ft. Mcdermitt Clinic, Mcdermitt, NV 89421 | 2011-07-07 |
| 1194029322 | Phs Schurz Indian Health Service | Clinic/Center | 112 North Reservation Road, Mcdermitt, NV 89421 | 2011-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245627553 | Tracy Marshall | Licensed Practical Nurse | 112 N. Reservation Rd, Mcdermitt, NV 89421 | 2015-04-24 |
| 1043562101 | Brandon Joseph Grow | Emergency Medical Technician, Paramedic | 20 Olavarria, Ft. Mcdermitt E.m.s., Mcdermitt, NV 89421 | 2012-10-12 |
| 1871845958 | David Gerald Cameron | Emergency Medical Technician, Paramedic | 20 Olivarria, Ft. Mcdermitt Ems, Mcdermitt, NV 89421 | 2012-10-12 |
| 1386917011 | Wendy Jewel Dexter | Dietitian, Registered | 112 North Reservation Rd., Mcdermitt, NV 89421 | 2012-02-10 |
| 1285936351 | Usphs, Indian Health Service, Schurz | Ambulance | 20 Olivarria Street, Mcdermitt, NV 89421 | 2010-11-23 |
| 1235484262 | Merry Christine Trujillo | Emergency Medical Technician, Intermediate | 20 Olavarria Street, Mc Dermitt, NV 89421-0297 | 2012-07-16 |
| 1093069445 | Michael Dion Garfield | Emergency Medical Technician, Intermediate | 20 Olavarria, Mc Dermitt, NV 89421-0297 | 2012-11-07 |
| 1679012579 | Fort Mcdermitt Tribe | Counselor | 112 No Reservation Road, Mcdermitt, NV 89421-0315 | 2017-02-13 |
| 1801348024 | Fort Mcdermitt Wellness Center | Clinic/Center | 112 No Reservation Rd, Mcdermitt, NV 89421-0315 | 2016-11-04 |
| 1053394866 | Bettina Giselle Alvarez | Nurse Practitioner | 120 Cordero Road, Mcdermitt, NV 89421-0315 | 2005-11-25 |
| Find all providers in zip 89421 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517580 | Building & Advancing Minds, LLC | Counselor | 3465 W Craig Rd Ste C, North Las Vegas, NV 89032-5121 | 2020-10-26 |
| 1881200723 | Bauza Neuropsychiatry Center LLC | Counselor | 4268 Roanridge Ave, Las Vegas, NV 89120-2113 | 2020-09-16 |
| 1306451711 | Crest Healthcare Inc. | Counselor | 3275 S Jones Blvd Ste 106, Las Vegas, NV 89146-6768 | 2020-09-11 |
| 1043821671 | New Directions LLC | Counselor | 3651 S Lindell Dr, Ste D15 B, Las Vegas, NV 89103 | 2020-08-17 |
| 1679183560 | Mary Jean Smith | Counselor | 2105 Capurro Way Ste 270, Sparks, NV 89431-8518 | 2020-08-05 |
| 1831707975 | Jennifer Fluharty | Counselor | 8934 Candice Creek Ct, Las Vegas, NV 89149-3263 | 2020-07-15 |
| 1497372635 | Cheryl Everage | Counselor | 1901 Little Bow Ave, North Las Vegas, NV 89084-2008 | 2020-07-04 |
| 1760009773 | Jprm Group LLC | Counselor | 3925 N Martin L King Blvd Ste 113, N Las Vegas, NV 89032-7674 | 2020-06-26 |
| 1992326672 | Felicia Kampf | Counselor | 1030 Holcomb Ave, Reno, NV 89502-2427 | 2020-05-04 |
| 1225666597 | Gwendolyn Mallory | Counselor | 4550 W Sahara Ave Apt 1241, Las Vegas, NV 89102-3648 | 2020-03-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on THELMA ROSE SIMON.
| 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.