CRAIG ALAN LARSON (NPI# 1013229129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013229129 |
| Entity Type | Individual |
| Full Name | CRAIG ALAN LARSON |
| Credential | LADC |
| Practice Address |
3900 W Charleston Blvd Ste 170 Las Vegas NV 89102-1682 |
| Mailing Address |
304 Horse Pointe Ave North Las Vegas NV 89084-1224 |
| Practice Telephone | 7024534673 |
| Practice Fax Number | 7024532673 |
| Mailing Telephone | 7022364484 |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2010-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
232 | NV | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528183928 | Craig R Larson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8010 Frost St Ste 408, San Diego, CA 92123-4222 | 2007-03-21 |
| 1972633907 | Craig G Larson | Dentist | 3445 Penrose Pl Ste 110, Boulder, CO 80301-1874 | 2007-03-07 |
| 1407996770 | Craig David Larson | Pharmacist | 1929 S Cedar Ave, Owatonna, MN 55060-4302 | 2007-02-07 |
| 1730250937 | Craig Russell Larson | Social Worker | 1807 Northbridge Pl, Downers Grove, IL 60516-3186 | 2006-11-11 |
| 1588782890 | Craig C. Larson | Dentist | 2707 N 400 E, North Ogden, UT 84414-2241 | 2007-03-26 |
| 1275545238 | Craig Donald Larson | Audiologist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2006-08-11 |
| 1255316535 | Craig S Larson | Radiology | 3719 Dauphin St, Mobile, AL 36608-1753 | 2005-12-09 |
| 1912990128 | Craig W Larson | Physician Assistant | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-08-24 |
| Street Address |
3900 W CHARLESTON BLVD STE 170 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-1682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306094578 | Inspiration Behavioral Management, Inc. | Community/Behavioral Health | 3900 W Charleston Blvd Ste 170, Las Vegas, NV 89102-1682 | 2008-08-29 |
| 1962057414 | Anthony Brando Opimo | Nurse Practitioner | 3900 W Charleston Blvd Ste 170, Las Vegas, NV 89102-1682 | 2019-08-01 |
| 1215458286 | Raj P. Singh Md Pllc | Internal Medicine | 3900 W Charleston Blvd Ste 170, Las Vegas, NV 89102-1682 | 2017-06-29 |
| 1023442472 | Jacqueline S Mondy | Rehabilitation Counselor | 3900 W Charleston Blvd Ste 170, Las Vegas, NV 89102-1682 | 2013-08-21 |
| 1861825762 | Jacqueline Merlan-saavedra | Rehabilitation Counselor | 3900 W Charleston Blvd Ste 170, Las Vegas, NV 89102-1682 | 2013-08-14 |
| 1023458353 | James Richard | Rehabilitation Counselor | 3900 W Charleston Blvd Ste 170, Las Vegas, NV 89102-1682 | 2013-07-01 |
| 1366880585 | Brian Anderson | Rehabilitation Counselor | 3900 W Charleston Blvd Ste 170, Las Vegas, NV 89102-1682 | 2013-06-10 |
| 1750729349 | Leah Lettsome | Counselor | 3900 W Charleston Blvd Ste 170, Las Vegas, NV 89102-1682 | 2013-06-05 |
| 1821346164 | Michael Videtto | Rehabilitation Counselor | 3900 W Charleston Blvd Ste 170, Las Vegas, NV 89102-1682 | 2012-08-16 |
| 1023389350 | Chelsey Wilks | Rehabilitation Practitioner | 3900 W Charleston Blvd Ste 170, Las Vegas, NV 89102-1682 | 2012-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200723 | Bauza Neuropsychiatry Center LLC | Counselor | 4268 Roanridge Ave, Las Vegas, NV 89120-2113 | 2020-09-16 |
| 1306451711 | Crest Healthcare Inc. | Counselor | 3275 S Jones Blvd Ste 106, Las Vegas, NV 89146-6768 | 2020-09-11 |
| 1043821671 | New Directions LLC | Counselor | 3651 S Lindell Dr, Ste D15 B, Las Vegas, NV 89103 | 2020-08-17 |
| 1831707975 | Jennifer Fluharty | Counselor | 8934 Candice Creek Ct, Las Vegas, NV 89149-3263 | 2020-07-15 |
| 1225666597 | Gwendolyn Mallory | Counselor | 4550 W Sahara Ave Apt 1241, Las Vegas, NV 89102-3648 | 2020-03-31 |
| 1134754120 | Shelley Denise Sargent | Counselor | 10593 Harvest Green Way, Las Vegas, NV 89135-1245 | 2020-03-10 |
| 1720610637 | Dsa Technoligies LLC | Counselor | 9504 City Hill Ct, Las Vegas, NV 89134-1711 | 2020-02-08 |
| 1811532781 | Melanie Fedraw | Counselor | 3661 S Maryland Pkwy Ste 64, Las Vegas, NV 89169-3005 | 2019-11-14 |
| 1457906729 | Elizabeth Ann Morris | Counselor | 7408 Mountain Thicket St, Las Vegas, NV 89131-4542 | 2019-08-05 |
| 1902450455 | Tracey Anora Henry | Counselor | 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 | 2019-08-01 |
| 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.