MAPLE STAR NEVADA (NPI# 1821549270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821549270 |
| Entity Type | Organization |
| Organization Name | MAPLE STAR NEVADA |
| Practice Address |
4773 Caughlim Pkwy Suite 2 Reno NV 89519 |
| Mailing Address |
4773 Caughlin Pkwy Suite 2 Reno NV 89519-1011 |
| Practice Telephone | 7756772216 |
| Mailing Telephone | 7756772216 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |
| Authorized Official Name | TINA MARIE GROVES (THERAPIST INTERN) |
| Authorized Official Telephone | 7756772216 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | MI0550 | NV | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942595210 | Maple Star Nevada | Foster Care Agency | 8455 Offenhauser Dr, #517, Reno, NV 89511 | 2011-06-15 |
| 1114159787 | Maple Star Nevada | Community/Behavioral Health | 2090 Seattle Shore St, Las Vegas, NV 89115-5227 | 2009-08-17 |
| 1245437458 | Maple Star Nevada | Community/Behavioral Health | 2965 S. Jones Blvd. Ste. E1, Las Vegas, NV 89146-5606 | 2007-06-29 |
| 1760523658 | Maple Star Nevada | Clinic/Center | 2965 S Jones Blvd Ste 101, Las Vegas, NV 89146-5629 | 2007-02-12 |
| 1356482236 | Maple Star Nevada | Clinic/Center | 100 Washington St. Ste 350, Tucson, AZ 85711 | 2007-02-12 |
| 1730220930 | Maple Star Nevada | Clinic/Center | 495 Idaho St Ste 101, Elko, NV 89801-3713 | 2007-02-09 |
| 1972644144 | Maple Star Nevada | Clinic/Center | 2965 S Jones Blvd Ste E1, Las Vegas, NV 89146-5606 | 2007-02-09 |
| 1912048547 | Maple Star Nevada | Clinic/Center | 100 Washington St Ste 350, Reno, NV 89503-5648 | 2007-02-08 |
| 1407469034 | Maple Star Nevada | Community/Behavioral Health | 855 W 7th St, Reno, NV 89503-2745 | 2020-08-24 |
| 1649645177 | Maple Star Nevada | Clinic/Center | 2725 E Desert Inn Rd Ste 180, Las Vegas, NV 89121-3627 | 2015-12-09 |
| Street Address |
4773 CAUGHLIM PKWY SUITE 2 |
| City | RENO |
| State | NV |
| Zip Code | 89519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912287 | Corazon Ilarina Ibarra | Preventive Medicine | 1495 Ridgeview Drive Suite 210, 1495 Ridgeview Drive Suite 210, Reno, NV 89519 | 2020-11-04 |
| 1073151411 | High Desert Endodontic Specialists | Dentist | 4104 Caughlin Square, 2, Reno, NV 89519 | 2019-12-17 |
| 1053840439 | David Mertz | Community Health Worker | 4773 Caughlin Parkway, Suite 2, Reno, NV 89519 | 2017-06-08 |
| 1649709072 | Sara Rumker | Community Health Worker | 4773 Caughlin Parkway Ste 2, Reno, NV 89519 | 2017-06-08 |
| 1437697406 | Jeanette Bradford | Counselor | 6008 Plumas Street Apt D, Reno, NV 89519 | 2017-02-09 |
| 1366804296 | Susan Lisa Peacock | Speech-Language Pathologist | 4293 Cutting Horse Circle, Reno, NV 89519 | 2016-03-21 |
| 1548551518 | Jonathan Arnow | Specialist | 3301 Ponderosa Pine Court, Reno, NV 89519 | 2011-04-26 |
| 1407080757 | Stacey Edgington | Speech-Language Pathologist | 4210 Pinto Drive, Reno, NV 89519 | 2009-05-14 |
| 1376723213 | Lexey Shuron Parker | Obstetrics & Gynecology | 4005 Plateau Road, Reno, NV 89519 | 2007-11-08 |
| 1255524146 | Robert Andrew Eslinger | Homeopath | 6110 Plumas St, Ste B, Reno, NV 89519 | 2007-08-23 |
| Find all providers in zip 89519 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719622 | Amy Lynn Roukie | Counselor | 850 Mill St Ste 101, Reno, NV 89502-1413 | 2020-08-06 |
| 1346863792 | William John Wynn II | Counselor | 155 Cadillac Pl, Reno, NV 89509-4355 | 2020-05-20 |
| 1013549401 | Ashley Osborne | Counselor | 1201 Terminal Way Ste 100, Reno, NV 89502-3420 | 2020-02-04 |
| 1760950364 | Troy Petersen | Counselor | 1680 Sky Mountain Dr Apt J144, Reno, NV 89523-6127 | 2018-11-13 |
| 1780181248 | Diana Wright, Psy.d., LLC | Counselor | 4600 Kietzke Ln Ste C129, Reno, NV 89502-5037 | 2018-04-11 |
| 1932607470 | Taylor Rae Riker | Counselor | 2300 Dickerson Rd Apt 11, Reno, NV 89503-4909 | 2018-01-30 |
| 1295243517 | Megan Brenner | Counselor | 527 Plumas Street, Reno, NV 89509 | 2018-01-22 |
| 1124533245 | Shannon Joy Glasser | Counselor | 722 Gordon Ave, Reno, NV 89509-1405 | 2017-12-12 |
| 1730693482 | Gabrielle Lapira | Counselor | 3030 Leadership Pkwy Unit 13310, Reno, NV 89503-2186 | 2017-11-16 |
| 1851819031 | Victoria Vaughn | Counselor | 4390 Interlaken Ct., Reno, NV 89509 | 2017-09-07 |
| Find all providers in RENO | ||||
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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.