KRYSTAL GUTIERREZ-AVILA (NPI# 1699140921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699140921 |
| Entity Type | Individual |
| Full Name | KRYSTAL GUTIERREZ-AVILA |
| Credential | LCSW |
| Practice Address |
98 E Lake Mead Pkwy Ste 103 Henderson NV 89015-6443 |
| Mailing Address |
3325 Research Way Carson City NV 89706-7913 |
| Practice Telephone | 7028680327 |
| Practice Fax Number | 7028680290 |
| Mailing Telephone | 7758886610 |
| Mailing Fax Number | 7758884904 |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2020-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
8235-C | NV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1699140921 | 05 |
| Street Address |
98 E LAKE MEAD PKWY STE 103 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89015-6443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689619314 | Parisa Amleshi | Internal Medicine | 98 E Lake Mead Pkwy Ste 103, Henderson, NV 89015-6443 | 2006-06-17 |
| 1710490479 | Thu-hong Tran | Physician Assistant | 98 E Lake Mead Pkwy Ste 103, Henderson, NV 89015-6443 | 2017-11-15 |
| 1760403455 | Kami A.k. Larsen | Pediatrics | 98 E Lake Mead Pkwy Ste 103, Henderson, NV 89015-6443 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503238 | Holly Abarca | Home Health Aide | 212 Shoshone Ln, Henderson, NV 89015 | 2018-10-05 |
| 1184111890 | Pain Center of Henderson LLC | Pain Medicine | 98 E. Lake Mead Pkwy. Suite 202, Henderson, NV 89015 | 2018-04-18 |
| 1124528963 | Edson Jeam Arredondo | Chore Provider | 160 E Horison Dr Ste A, Henderson, NV 89015 | 2018-02-19 |
| 1558879569 | Robin Harvey | Rehabilitation Practitioner | 203 S. Water St # 200, Henderson, NV 89015 | 2018-01-12 |
| 1477064368 | Chris Mcdonald | Counselor | 220 E Horizon Drive, Suite H, Henderson, NV 89015 | 2017-10-18 |
| 1649792565 | David Blake | Case Manager/Care Coordinator | 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 | 2017-07-12 |
| 1457726135 | Ozioma Chiebuka Nwosu | Nurse Practitioner | 200 E Horizon Dr Ste A, Henderson, NV 89015 | 2015-12-07 |
| 1770962839 | Myesha Nicole Butler | Counselor | 16 W. Pacific Street, Ste. 2, Henderson, NV 89015 | 2015-05-22 |
| 1629469424 | Felicia Suberville | Behavioral Analyst | 236 Red Horizon Terrace, Henderson, NV 89015 | 2015-02-16 |
| 1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
| Find all providers in zip 89015 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272130 | Adella Jaeger | Social Worker | 2520 Saint Rose Pkwy Ste 108c, Henderson, NV 89074-7784 | 2020-10-15 |
| 1609331453 | Terri Keener | Social Worker | 1319 Tempo St, Henderson, NV 89052-6461 | 2019-02-06 |
| 1194290692 | Adella Jenny Jaeger | Social Worker | 197 Andada Dr, Henderson, NV 89012-2496 | 2018-10-10 |
| 1184107906 | Jessica L Burton | Social Worker | 25 Red Oak Canyon St Unit 1, Henderson, NV 89012-5973 | 2018-09-07 |
| 1942716600 | Jenna Willis | Social Worker | 10895 Dayton Way, Henderson, CO 80640-7549 | 2017-12-18 |
| 1053820183 | Karmen Smith | Social Worker | 1051 Via Saint Lucia Pl, Henderson, NV 89011-0872 | 2017-09-20 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1275078149 | Diana Jean Schmitz | Social Worker | 2360 N Horizon Ridge Parkway, Henderson, CLARK COUNTY 89052 | 2016-12-30 |
| 1871949735 | Jessica Lincoln | Social Worker | 10819 Ackers Dr, Henderson, NV 89052-8697 | 2016-05-10 |
| 1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
| 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.