JODY MARSHALL (NPI# 1629385604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629385604 |
| Entity Type | Individual |
| Full Name | JODY MARSHALL |
| Credential | LCPC, LCADC |
| Practice Address |
4588 N Rancho Dr Ste 12 Las Vegas NV 89130-3429 |
| Practice Telephone | 7023752861 |
| Mailing Telephone | 7023752861 |
| Enumeration Date | 2010-09-11 |
| Last Update Date | 2019-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 S Rancho Dr Ste I58, Las Vegas, NV 891064838 | 7027953470 | 7027572570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205116720 | Jody G Marshall | Speech-Language Pathologist | 5150 Old Goodrich Rd, Clarence, NY 14031-2406 | 2011-08-29 |
| 1912089608 | Jody Elaine Marshall | Counselor | 3322 Broadway, Everett, WA 98201-4425 | 2006-10-20 |
| Street Address |
4588 N RANCHO DR STE 12 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89130-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326355736 | Melissa Morgan | Rehabilitation Practitioner | 4588 N Rancho Dr Ste 12, Las Vegas, NV 89130-3429 | 2010-09-07 |
| 1437466398 | Rebecca Mccollom | Rehabilitation Practitioner | 4588 N Rancho Dr Ste 12, Las Vegas, NV 89130-3429 | 2010-09-13 |
| 1689981532 | Tamara Williams | Rehabilitation Practitioner | 4588 N Rancho Dr Ste 12, Las Vegas, NV 89130-3429 | 2010-09-13 |
| 1467769323 | Antavia Harwood | Rehabilitation Practitioner | 4588 N Rancho Dr Ste 12, Las Vegas, NV 89130-3429 | 2010-09-13 |
| 1609183557 | Anthony Cachila | Rehabilitation Practitioner | 4588 N Rancho Dr Ste 12, Las Vegas, NV 89130-3429 | 2010-09-13 |
| 1083921068 | Andrea Shear | Rehabilitation Practitioner | 4588 N Rancho Dr Ste 12, Las Vegas, NV 89130-3429 | 2010-09-11 |
| 1619284692 | Virginia Louise Johnson | Rehabilitation Practitioner | 4588 N Rancho Dr Ste 12, Las Vegas, NV 89130-3429 | 2010-09-11 |
| 1801103882 | Charlotte Hill | Rehabilitation Practitioner | 4588 N Rancho Dr Ste 12, Las Vegas, NV 89130-3429 | 2010-09-11 |
| 1356658330 | Wilma J Simon | Rehabilitation Practitioner | 4588 N Rancho Dr Ste 12, Las Vegas, NV 89130-3429 | 2010-09-11 |
| 1992012975 | Paula Louise Castro | Rehabilitation Practitioner | 4588 N Rancho Dr Ste 12, Las Vegas, NV 89130-3429 | 2010-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374031 | Mindworks Behavioral Health & Medical Center | Clinic/Center | 7495 W. Azure Dr., Ste. 240, Las Vegas, NV 89130 | 2019-12-26 |
| 1669033833 | Doran Gaston | Behavioral Analyst | 3560 N Rancho Dr., Suite 109, Las Vegas, NV 89130 | 2019-06-27 |
| 1700447547 | Lakeisha Lloved | Behavioral Analyst | 3650 N Ranch Dr., Suite 109, Las Vegas, NV 89130 | 2019-06-24 |
| 1952962797 | Dana Lloved | Behavioral Analyst | 5650 N. Rancho Dr., 109, Las Vegas, NV 89130 | 2019-06-24 |
| 1316501596 | Positively Therapy | Counselor | 5071 N Rainbow Blvd #170, Las Vegas, NV 89130 | 2019-04-23 |
| 1427518356 | Rebecca Aragon | Behavioral Analyst | 5803 West Craig Road, Las Vegas, NV 89130 | 2019-03-25 |
| 1568929198 | Clear Choice Therapeutic Center, LLC | Community/Behavioral Health | 4079 North Rancho Drive, Suite 160, Las Vegas, NV 89130 | 2019-03-01 |
| 1699239095 | Jennifer Lee Kearns | Rehabilitation Practitioner | 3680 N Racho Drive, Las Vegas, NV 89130 | 2019-01-30 |
| 1730651852 | Sunrise Adult Day Care | Clinic/Center | 3930 Leon Ave #130, Las Vegas, NV 89130 | 2018-12-31 |
| 1376015685 | Sunrise Adult Day Care | Clinic/Center | 3930 Leon Ave Suite # 130, Las Vegas, NV 89130 | 2018-12-27 |
| Find all providers in zip 89130 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
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| 1568060796 | Rolly Taguinod Quilang | Counselor | 5346 Tipper Ave, Las Vegas, NV 89122-6966 | 2020-10-09 |
| 1255948519 | Jaafah Rashad Coppedge | Counselor | 4400 S Jones Blvd Unit 1028, Las Vegas, NV 89103-3337 | 2020-09-30 |
| 1457968570 | Deborah Ilakay Walker | Counselor | 764 E Twain Ave Apt 5b, Las Vegas, NV 89169-4125 | 2020-09-24 |
| 1912513359 | Parisa Karen Kabiri | Counselor | 6767 W Tropicana Ave #100, Las Vegas, NV 89103-8910 | 2020-09-21 |
| 1861007932 | Camry A Howard | Counselor | 3200 Arville St Apt 146, Las Vegas, NV 89102-7648 | 2020-09-14 |
| 1992319099 | Kayli Wrenn | Counselor | 7788 Peaceful Trellis Dr, Las Vegas, NV 89179-2031 | 2020-09-04 |
| 1932712809 | Williams Consultation | Counselor | 3811 W Charleston Blvd Ste 106, Las Vegas, NV 89102-1846 | 2020-08-28 |
| 1386255321 | Evolve and Heal Wellness Center | Counselor | 1024 W Owens Ave Ste 113, Las Vegas, NV 89106-2520 | 2020-08-13 |
| 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.