CLARISSA MORENO (NPI# 1083080048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083080048 |
| Entity Type | Individual |
| Full Name | CLARISSA MORENO |
| Practice Address |
1640 Alta Dr Ste 4 Las Vegas NV 89106-4165 |
| Practice Telephone | 7024746450 |
| Practice Fax Number | 7024746463 |
| Mailing Telephone | 7024746450 |
| Mailing Fax Number | 7024746463 |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 01646-I | NV | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174616981 | Clarissa Moreno | Pharmacist | 2101 S. Colonel Rowe Boulevard, Mcallen, TX 78503 | 2006-10-02 |
| 1629694856 | Clarissa Marie Moreno | Behavior Technician | 23502 Lyons Ave Ste 304a, Santa Clarita, CA 91321-2538 | 2020-06-23 |
| Street Address |
1640 ALTA DR STE 4 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-4165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982808960 | Milagros Severin-ruiz | Counselor | 1640 Alta Dr Ste 4, Las Vegas, NV 89106-4165 | 2007-06-13 |
| 1689214355 | Stacy Lynn Stanley | Counselor | 1640 Alta Dr Ste 4, Las Vegas, NV 89106-4165 | 2020-01-10 |
| 1265074439 | Veronica Alvarez | Counselor | 1640 Alta Dr Ste 4, Las Vegas, NV 89106-4165 | 2019-10-09 |
| 1619528320 | Sybria Davis | Specialist | 1640 Alta Dr Ste 4, Las Vegas, NV 89106-4165 | 2019-09-24 |
| 1356902688 | Yazmin Valdez Martinez | Counselor | 1640 Alta Dr Ste 4, Las Vegas, NV 89106-4165 | 2019-06-26 |
| 1467013789 | Christa Clayton | Counselor | 1640 Alta Dr Ste 4, Las Vegas, NV 89106-4165 | 2019-06-26 |
| 1003473422 | Rachel Mabuta Williams | Social Worker | 1640 Alta Dr Ste 4, Las Vegas, NV 89106-4165 | 2019-05-21 |
| 1659935591 | Jennifer R Gates | Marriage & Family Therapist | 1640 Alta Dr Ste 4, Las Vegas, NV 89106-4165 | 2019-04-25 |
| 1770042269 | Kimberly Jocelyn Rubalcava | Marriage & Family Therapist | 1640 Alta Dr Ste 4, Las Vegas, NV 89106-4165 | 2019-03-14 |
| 1992271076 | Samantha Blair Thurber | Counselor | 1640 Alta Dr Ste 4, Las Vegas, NV 89106-4165 | 2018-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| 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 |
|---|---|---|---|---|
| 1649885906 | Danielle Monique Edwards | Counselor | 230 Mission Catalina Ln, Las Vegas, NV 89107-2711 | 2020-09-14 |
| 1548873748 | Jamye Ann Miller | Counselor | 213 Shadow Ln, Las Vegas, NV 89106-4338 | 2020-08-26 |
| 1629687538 | Nicholas James Dayton | Counselor | 2038 Palm St Spc 78, Las Vegas, NV 89104-4833 | 2020-07-27 |
| 1215559935 | Elizabeth Marie Brescia | Counselor | 501 S Rancho Dr # 33, Las Vegas, NV 89106-4828 | 2020-05-15 |
| 1871128983 | Mirielys Merayo Mejias | Counselor | 3954 Parkhaven Dr, Las Vegas, NV 89120-1311 | 2020-03-09 |
| 1497394316 | Morgan Faye Mccallister | Counselor | 4059 Pistachio Nut Ave, Las Vegas, NV 89115-1294 | 2019-12-23 |
| 1154968311 | Simone Allison Bailey | Counselor | 5060 W Hacienda Ave Apt 2004, Las Vegas, NV 89118-0340 | 2019-12-06 |
| 1558824250 | Cherelle Porche | Counselor | 12020 Southern Highlands Pkwy Apt 1136, Las Vegas, NV 89141-3006 | 2019-04-09 |
| 1508325606 | Latonya Bell | Counselor | 7883 Salt Spray Ct, Las Vegas, NV 89139-6115 | 2019-03-18 |
| 1346708591 | Annali Euredjian | Counselor | 8440 Westcliff Dr Apt 2043, Las Vegas, NV 89145-3913 | 2019-03-06 |
| 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.