MAPLE STAR NEVADA (NPI# 1023159506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023159506 |
| Entity Type | Organization |
| Organization Name | MAPLE STAR NEVADA |
| Practice Address |
620 N Craycroft Rd Tucson AZ 85711-1448 |
| Practice Telephone | 5207476694 |
| Practice Fax Number | 5207476613 |
| Mailing Telephone | 5207476694 |
| Mailing Fax Number | 5207476613 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BREEANN HOERNING (AR & BILLIBG MANAGER) |
| Authorized Official Telephone | 5207476694 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 100508814 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821549270 | Maple Star Nevada | Counselor | 4773 Caughlim Pkwy, Suite 2, Reno, NV 89519 | 2016-10-20 |
| 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 |
| Street Address |
620 N CRAYCROFT RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85711-1448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023093457 | Angel Viano | Counselor | 620 N Craycroft Rd, Tucson, AZ 85711-1448 | 2005-12-08 |
| 1467091512 | Joleen A Rodriguez | Nurse Practitioner | 620 N Craycroft Rd, Tucson, AZ 85711-1448 | 2020-01-06 |
| 1407337728 | Anne Marie Keyl | Social Worker | 620 N Craycroft Rd, Tucson, AZ 85711-1448 | 2018-08-24 |
| 1770081390 | Terri Mccormick | Nurse Practitioner | 620 N Craycroft Rd, Tucson, AZ 85711-1448 | 2018-01-29 |
| 1548704125 | Michael Douglas Worley | Nurse Practitioner | 620 N Craycroft Rd, Tucson, AZ 85711-1448 | 2016-12-15 |
| 1861854077 | Heather Moore | Counselor | 620 N Craycroft Rd, Tucson, AZ 85711-1448 | 2016-03-26 |
| 1003288945 | Diana Verdugo | Nurse Practitioner | 620 N Craycroft Rd, Tucson, AZ 85711-1448 | 2015-10-29 |
| 1871901033 | Cope Community Services, Inc. | Psychiatry & Neurology | 620 N Craycroft Rd, Tucson, AZ 85711 | 2014-07-31 |
| 1841578986 | Sarah Woodfin Thomas | Family Medicine | 620 N Craycroft Rd, Tucson, AZ 85711-1448 | 2011-07-22 |
| 1669698502 | Philip P. Randall | Marriage & Family Therapist | 620 N Craycroft Rd, Tucson, AZ 85711-1448 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959951 | Ridgeline Practice | Counselor | 4625 N Broadway, Suite 105, Tucson, AZ 85711 | 2020-07-20 |
| 1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
| 1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
| 1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
| 1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
| 1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
| 1689196420 | Cope Community Services, Inc. | Case Management | 924 N Alvernon Way, Tucson, AZ 85711 | 2017-07-13 |
| 1124561477 | Regina Maendler | Behavioral Analyst | 630 N. Craycroft Rd, Tucson, AZ 85711 | 2016-11-18 |
| 1881140184 | Elleda Linsmeyer | Speech-Language Pathologist | St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 | 2016-08-28 |
| 1962856260 | Csl-tucson, LLC | Assisted Living Facility | 1020 N. Woodland Avenue, Tucson, AZ 85711 | 2016-04-22 |
| Find all providers in zip 85711 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013545144 | Tucson Counseling Associates, LLC | Clinic/Center | 125 E Mabel St, Tucson, AZ 85705-6654 | 2020-04-01 |
| 1043844756 | Restored Hope Counseling and Coaching Services | Clinic/Center | 4537 W Lord Redman Loop, Tucson, AZ 85741-4042 | 2020-03-03 |
| 1245876259 | Bamboo Wellness Pllc | Clinic/Center | 5151 E Broadway Blvd Ste 720, Tucson, AZ 85711-3783 | 2019-11-25 |
| 1245777481 | Sonora Behavioral Health Hospital, LLC | Clinic/Center | 2001 West Orange Grove Road, Suite 114, 112, 102, Tucson, AZ 85704 | 2017-01-26 |
| 1174997092 | Banner -- University Medicine Crisis Response Center LLC | Clinic/Center | 2802 E District St Fl 2, Tucson, AZ 85714-2081 | 2015-11-16 |
| 1295129823 | Terros, Inc. | Clinic/Center | 3385 N Campbell Ave, Tucson, AZ 85719-2306 | 2015-03-20 |
| 1518358530 | Codac Health, Recovery & Wellness, Inc. | Clinic/Center | 1600 N Country Club Rd, Tucson, AZ 85716-3119 | 2015-02-12 |
| 1053524348 | Pasadera Behavioral Health Network, Inc. | Clinic/Center | 2502 N. Dodge Blvd., Suite 190, Tucson, AZ 85716-2675 | 2007-05-07 |
| 1356482236 | Maple Star Nevada | Clinic/Center | 100 Washington St. Ste 350, Tucson, AZ 85711 | 2007-02-12 |
| 1659432763 | Adaptive Living Institute | Clinic/Center | 434 E 9th St, Tucson, AZ 85705-8580 | 2006-12-12 |
| Find all providers in TUCSON | ||||
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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.