STATE OF NEVADA (NPI# 1932304920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932304920 |
| Entity Type | Organization |
| Organization Name | STATE OF NEVADA |
| Other Organization Name | STATE OF NEVADA, DHHS, DIVISION OF CHILD AND FAMILY SERVICES |
| Practice Address |
6171 W Charleston Blvd Bldg. # 12-14 Las Vegas NV 89146-1126 |
| Practice Telephone | 7024866100 |
| Practice Fax Number | 7024866057 |
| Mailing Telephone | 7024866100 |
| Mailing Fax Number | 7024866057 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2007-09-25 |
| Authorized Official Name | MR. JEFF MORROW (ADMINISTRATIVE SERVICES OFFICER) |
| Authorized Official Telephone | 7024866100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| State of Nevada, DHHS, Division of Child and Family Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1316574064 | State of Nevada | Psychiatric Residential Treatment Facility | 2655 Enterprise Dr, Reno, NV 89512 | 2020-03-24 |
| 1114309432 | State of Nevada | Case Management | 3416 Goni Rd Bldg D, 132, Carson City, NV 89706-8008 | 2015-06-23 |
| 1699914887 | State of Nevada | Case Management | 775 Cornell Avenue, Suite A-1, Lovelock, NV 89419-0000 | 2009-02-11 |
| 1386805265 | State of Nevada | Public Health or Welfare | 1000 E Williams Street, #205, Carson City, NV 80701 | 2008-06-23 |
| 1558549972 | State of Nevada | Case Management | 100 Depot, #5, Caliente, NV 89008-0000 | 2008-02-07 |
| 1578741179 | State of Nevada | Case Management | 1665 Old Hot Springs Road, Suite 150, Carson City, NV 89706-0668 | 2008-02-06 |
| 1336203892 | State of Nevada | Public Health or Welfare | 1665 Old Hot Springs Rd Ste 157, Carson City, NV 89706-0663 | 2006-12-20 |
| 1184706012 | State of Nevada | Clinic/Center | 825 S Main, Tonopah, NV 89049-0494 | 2006-10-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STATE OF NEVADA RURAL CLINICS | 4126 Technology Way 2nd Fl, Carson City, NV 89706-2027 |
| Street Address |
6171 W CHARLESTON BLVD BLDG. # 12-14 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811953003 | State of Nevada | Psychiatric Residential Treatment Facility | 6171 W Charleston Blvd, Bldg. #17, Las Vegas, NV 89146-1126 | 2006-04-25 |
| 1073112025 | Colette Olicia Scott | Counselor | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2020-10-21 |
| 1104423615 | Cleonne Lucien-ferdinand | Registered Nurse | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2020-10-07 |
| 1740805670 | Johnathan M Clark | Registered Nurse | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2020-06-16 |
| 1437780996 | Eva Maria Rivera | Registered Nurse | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2020-02-03 |
| 1699305953 | Margy Espinosa | Registered Nurse | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2020-01-24 |
| 1871123133 | Frances M. Twigg | Registered Nurse | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2020-01-24 |
| 1700429271 | Nancy Angela Zavetz-lee | Registered Nurse | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2019-10-28 |
| 1558822676 | Loribeth Smith | Counselor | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2019-03-29 |
| 1144795808 | Barbara A Jones | Counselor | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2018-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
| Find all providers in zip 89146 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342119 | Eden Treatment, LLC | Clinic/Center | 4465 S Buffalo Dr Ste A, Las Vegas, NV 89147-5006 | 2020-10-05 |
| 1316551682 | Ignite Teen Treatment, LLC | Clinic/Center | 2761 Family Ct, Las Vegas, NV 89117-2601 | 2020-09-03 |
| 1841800554 | Reset Behavior LLC | Clinic/Center | 6471 American Eagle Ave, Las Vegas, NV 89131-3252 | 2020-08-06 |
| 1013538750 | Rite of Passage Adolescent Treatment Centers and Schools Inc. | Clinic/Center | 800 E Charleston Blvd, Las Vegas, NV 89104-1512 | 2020-05-05 |
| 1063984219 | Ignite Teen Treatment, LLC | Clinic/Center | 3621 Bahama Bay Ct, Las Vegas, NV 89147-6800 | 2018-12-28 |
| 1346751526 | Ignite Teen Treatment, LLC | Clinic/Center | 3722 Lone Mesa Dr, Las Vegas, NV 89147 | 2017-10-16 |
| 1144772393 | Alvarado Lopez | Clinic/Center | 818 E Flamingo Rd, #205, Las Vegas, NV 89119-7315 | 2016-11-03 |
| 1932585718 | Journeys Adolescent Services | Clinic/Center | 7500 W Lake Mead Blvd # 9-481, Las Vegas, NV 89128-0297 | 2015-08-04 |
| 1952674806 | Kekoa Inc | Clinic/Center | 7345 Falcon Rock Dr, Las Vegas, NV 89123-1470 | 2012-02-22 |
| 1649418724 | Smart Start | Clinic/Center | 4160 S Pecos Rd Ste 18, Suite18, Las Vegas, NV 89121-5027 | 2009-01-28 |
| 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.