FRED BLAUTH JR. (NPI# 1689197444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689197444 |
| Entity Type | Individual |
| Full Name | FRED BLAUTH JR. |
| Credential | CADC |
| Practice Address |
2105 Sullivan Ln Sparks NV 89431 |
| Mailing Address |
927 Mount Rose St Reno NV 89509-3226 |
| Practice Telephone | 7753557735 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2017-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
00130-C | NV | Behavioral Health & Social Service Providers |
| Street Address |
2105 SULLIVAN LN |
| City | SPARKS |
| State | NV |
| Zip Code | 89431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958033 | Jerome Johnson II | Behavioral Analyst | 3115 Saltern Way, Sparks, NV 89431 | 2019-12-09 |
| 1528520640 | Dynisha Bernee Richardson | Technician, Other | 616 Victorian Ave, Sparks, NV 89431 | 2019-04-05 |
| 1902376494 | Avalon Care Center-va Reno, LLC | Skilled Nursing Facility | 36 Battle Born Way, Sparks, NV 89431 | 2018-11-28 |
| 1669964128 | Abraham A Arellano | Behavioral Analyst | 2005 Probasco Way, Sparks, NV 89431 | 2018-05-31 |
| 1003335399 | Carresa Greer | Counselor | 390 Freeport Blvd #3, Sparks, NV 89431 | 2017-09-18 |
| 1548719255 | Adolescent Treatment Center | Community Based Residential Treatment Facility, Mental Illness | 480 Galetti Way, Sparks, NV 89431 | 2016-09-23 |
| 1124478862 | Kristina Schneider | Behavioral Analyst | 3230 Wedekind Rd, 50, Sparks, NV 89431 | 2016-06-14 |
| 1336506898 | Rikki Texter | Occupational Therapy Assistant | 1025 Robert Lane, Sparks, NV 89431 | 2016-01-28 |
| 1851760177 | Elizabeth Ojeda | Counselor | 490 Galletti Way, Building 8c, Sparks, NV 89431 | 2015-09-16 |
| 1164814208 | Erick Becerra | Counselor | 1555 Oddie Blvd Suite B, Sparks, NV 89431 | 2015-02-26 |
| Find all providers in zip 89431 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183560 | Mary Jean Smith | Counselor | 2105 Capurro Way Ste 270, Sparks, NV 89431-8518 | 2020-08-05 |
| 1912482886 | Jennifer Eileen Hernandez | Counselor | 25 Curnow Springs Ct, Sparks, NV 89436-5616 | 2018-09-26 |
| 1861993602 | Daxea Deweese | Counselor | 2105 Capurro Way Ste 105, Sparks, NV 89431-8586 | 2018-02-27 |
| 1912422593 | Megan Taylor Dominguez | Counselor | 480 Galletti Way Bldg 1, Sparks, NV 89431-5564 | 2017-08-04 |
| 1851760177 | Elizabeth Ojeda | Counselor | 490 Galletti Way, Building 8c, Sparks, NV 89431 | 2015-09-16 |
| 1023486438 | Sucelly Melissa Diaz Erazo | Counselor | 501 El Rancho Dr Spc 88, Sparks, NV 89431-4117 | 2015-09-02 |
| 1003292657 | Alicia Aparicio | Counselor | 1795 Trabert Cir, Sparks, NV 89431-2960 | 2015-08-06 |
| 1700265089 | Arcadia Recovery Center | Counselor | 1188 Victorian Plaza Cir, Sparks, NV 89431-4943 | 2015-05-20 |
| 1164814208 | Erick Becerra | Counselor | 1555 Oddie Blvd Suite B, Sparks, NV 89431 | 2015-02-26 |
| 1124464193 | Lindsay Erminia Holland | Counselor | 420 S Rock Blvd, Sparks, NV 89431-5547 | 2013-05-17 |
| Find all providers in SPARKS | ||||
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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.