INDEPENDENT CHOICES FOR SUCCESS COMMUNITY DEVELOPMENT CORPORATION (NPI# 1801109418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801109418 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT CHOICES FOR SUCCESS COMMUNITY DEVELOPMENT CORPORATION |
| Practice Address |
320 Princess Ave N Las Vegas NV 89030-3809 |
| Practice Telephone | 7025735812 |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2011-05-27 |
| Authorized Official Name | PHYLLIS JONES-JEFFERSON (PRESIDENT) |
| Authorized Official Telephone | 7025735812 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251300000X | Local Education Agency (LEA) | Agencies | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| N | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
Ambulatory Health Care Facilities | ||
| N | 261QG0250X |
Clinic/Center Specialization: Genetics |
Ambulatory Health Care Facilities | ||
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
320 PRINCESS AVE |
| City | N LAS VEGAS |
| State | NV |
| Zip Code | 89030-3809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1558968214 | Arturo Juarez Magana | Technician | 2415 Reynolds Ave Suite 101, Las Vegas, NV 89030 | 2020-10-06 |
| 1669088407 | Olivia Lizbeth Santillan-trinidad | Technician | 2415 Reynolds Ave. Ste #101, Las Vegas, NV 89030 | 2020-09-17 |
| 1508471640 | Fabian Aaron Alvarado-perales | Technician | 2415 Reynolds Ave Ste. 101, Las Vegas, NV 89030 | 2020-09-15 |
| 1063047934 | Adriana Lopez | Technician | 2415 Reynolds Ave., Ste 100, N. Las Vegas, NV 89030 | 2020-03-11 |
| 1881234078 | Blanca E Rangel Silva | Technician | 2810 Equador Ct, Las Vegas, NV 89030 | 2020-01-15 |
| 1598314445 | Julia Gonzalez | Technician | 2415 Reynolds Ave Suiete 100, Las Vegas, NV 89030 | 2019-09-04 |
| 1487201901 | Mayra Gutierrez | Technician | 2415 Reynolds Av. #100, Las Vegas, NV 89030 | 2019-08-20 |
| 1639725799 | Idalia Ruiz | Technician | 2415 Reynolds Ave, Las Vegas, NV 89030 | 2019-08-14 |
| 1548815616 | Rd Prabhu-lata K Shete Mds Ltd | Clinic/Center | 1905 Civic Center Drive, Ste 201, N. Las Vegas, NV 89030 | 2019-08-06 |
| Find all providers in zip 89030 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033421748 | Tracy Wiese | Marriage & Family Therapist | 3940 N Martin Luther King Boulevard, N Las Vegas, NV 89032 | 2010-07-10 |
| 1306107958 | Patrick Tobey | Marriage & Family Therapist | 3435 W Craig Rd, N Las Vegas, NV 89032-5115 | 2012-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382424 | Angelic Solution Wellness Center, LLC | Marriage & Family Therapist | 3600 Monarcas St Unit 102, Las Vegas, NV 89108-8718 | 2020-09-25 |
| 1396350914 | Victoria Denise Means | Marriage & Family Therapist | 4535 W Russell Rd, Las Vegas, NV 89118-2257 | 2020-09-10 |
| 1215549357 | Caitlyn Gilmour | Marriage & Family Therapist | 2915 W Charleston Blvd Ste 130, Las Vegas, NV 89102-1975 | 2020-08-19 |
| 1659993533 | Sydney Denton Erskine | Marriage & Family Therapist | 2336 Rosendale Village Ave, Henderson, NV 89052-8731 | 2020-05-13 |
| 1801415344 | Adrienne Oneal | Marriage & Family Therapist | 10655 Park Run Dr Ste 200, Las Vegas, NV 89144-4590 | 2020-04-14 |
| 1669001558 | Kaitlin Andrewjeski | Marriage & Family Therapist | 2298 W Horizon Ridge Pkwy Ste 201a, Henderson, NV 89052-2698 | 2020-04-03 |
| 1093340291 | Dorothy Lee Draper | Marriage & Family Therapist | 1528 Us Highway 395 N Ste 215, Gardnerville, NV 89410-5226 | 2020-03-08 |
| 1205460193 | Aubrey Wadman-goetsch | Marriage & Family Therapist | 2518 Anthem Village Dr Ste 103, Henderson, NV 89052-5554 | 2020-02-28 |
| 1003440116 | Cynrg Enterprises LLC | Marriage & Family Therapist | 6578 Creekside Cellars Court, Las Vegas, NV 89139 | 2020-02-27 |
| 1457999195 | Julie Robinson | Marriage & Family Therapist | 601 S Rancho Dr Ste 10, Las Vegas, NV 89106-4899 | 2019-12-12 |
| Find all providers with the same taxonomy | ||||
| City | N LAS VEGAS |
| Zip Code | 89030 |
Please comment or provide details below to improve the information on INDEPENDENT CHOICES FOR SUCCESS COMMUNITY DEVELOPMENT CORPORATION.
| 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.