KATHLEEN PANTAZE (NPI# 1215068820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215068820 |
| Entity Type | Individual |
| Full Name | KATHLEEN PANTAZE |
| Credential | LCSW |
| Practice Address |
61 N Willow St Ste 4 Mesquite NV 89027-4785 |
| Mailing Address |
4126 Technology Way Suite 102 Carson City NV 89706-2009 |
| Practice Telephone | 7023464696 |
| Practice Fax Number | 7023464699 |
| Mailing Telephone | 7756877573 |
| Mailing Fax Number | 7756877544 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
845L | NV | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
3013C | NV | Behavioral Health & Social Service Providers |
| Street Address |
61 N WILLOW ST STE 4 |
| City | MESQUITE |
| State | NV |
| Zip Code | 89027-4785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063457422 | Scott Kirk Brotherson | Optometrist | 61 N Willow St, Suite 2, Mesquite, NV 89027-4785 | 2006-06-19 |
| 1639550536 | Kimberly Jeanne Gilbert | Case Manager/Care Coordinator | 61 N Willow St, Suite 4, Mesquite, NV 89027-4785 | 2015-06-16 |
| 1275936189 | Machelle Johnson | Peer Specialist | 61 N Willow St, No. 4, Mesquite, NV 89027-4785 | 2014-10-06 |
| 1376957167 | Carolyn L Bidwell | Rehabilitation Counselor | 61 N Willow St, Ste #4, Mesquite, NV 89027-4785 | 2014-06-19 |
| 1831527936 | Philip Jones | Social Worker | 61 N Willow St, Suite 4, Mesquite, NV 89027-4785 | 2013-10-29 |
| 1609210533 | Marie Genevieve Stokey | Counselor | 61 N Willow St, Mesquite, NV 89027 | 2013-04-22 |
| 1891047114 | S & J Brotherson Enterprises LLC | Optometrist | 61 N Willow St, Suite 2, Mesquite, NV 89027-4785 | 2012-10-10 |
| 1548541378 | Cheryl Lynn Olson-wilbur | Case Manager/Care Coordinator | 61 N Willow St, Suite 4, Mesquite, NV 89027-4785 | 2011-09-07 |
| 1447552450 | Pam Bruehl | Rehabilitation Counselor | 61 N Willow St, Ste A, Mesquite, NV 89027-4785 | 2010-11-23 |
| 1326340332 | Janie Rippetoe | Rehabilitation Counselor | 61 N Willow St, Ste 4, Mesquite, NV 89027-4785 | 2010-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388439 | Michael Shay Nielson | Occupational Therapist | 1140 W. Pioneer Blvd, Mesquite, NV 89027 | 2019-04-22 |
| 1104330059 | Pinnacle Absolute Care | Pharmacy | 114 N. Sandhill Blvd, Suite B, Mesquite, NV 89027 | 2017-11-29 |
| 1811346901 | Rodney Briggs | Physician Assistant | 1925 Whipple Ave. Ste. 30, Logandale, NV 89027 | 2016-06-08 |
| 1881085843 | Sylvan M. Johnson | Physical Therapist | 340 Falcon Ridge Pkwy # 500, Mesquite, NV 89027 | 2015-02-12 |
| 1326281882 | Gladys Kodjoe | Internal Medicine | 350 Falcon Ridge Pkwy Ste 102, Mesquite, NV 89027 | 2009-04-14 |
| 1316010432 | Mesquite Medical Equipment | Durable Medical Equipment & Medical Supplies | 330 Falcon Ridge Pkwy Ste 400b, Mesquite, NV 89027 | 2006-11-16 |
| 1316982028 | Kyle Devon Andrus | Optometrist | 330 N. Sandhill Blvd, Suite A, Mesquite, NV 89027 | 2006-06-17 |
| 1366409633 | Stephen R Hamilton | Registered Nurse | 1299 Bertha Howe Avenue, Mesquite, NV 89027 | 2006-04-28 |
| 1386642460 | Desert Health Care Facilities, Inc. | Skilled Nursing Facility | 272 Pioneer Blvd, Mesquite, NV 89027 | 2005-07-12 |
| 1205838265 | Marchant Physical Therapy & Wellness, Inc. | Specialist | 340 Falcon Ridge Parkway, Building 500, Mesquite, NV 89027 | 2005-06-02 |
| Find all providers in zip 89027 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
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| 1508258278 | Ana Sanchez | Counselor | 2071 Silverado Dr, Mesquite, TX 75181 | 2015-03-04 |
| 1730327743 | Vivian Gail Scott | Counselor | 3733 Towne Crossing Blvd, No. 1814, Mesquite, TX 75150-2785 | 2009-01-29 |
| 1316105117 | Eddie Chiedozie Osuagwu | Counselor | 303 N Galloway Ave Ste A, Mesquite, TX 75149-4315 | 2008-05-28 |
| 1609422609 | Michael Blake Davis | Counselor | 2849 Nighthawk Dr, Mesquite, TX 75181-4966 | 2019-08-15 |
| 1144612052 | Tracy Foster | Counselor | 1517 Lone Star Ct, Mesquite, TX 75181-4414 | 2015-03-02 |
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| 1831707975 | Jennifer Fluharty | Counselor | 8934 Candice Creek Ct, Las Vegas, NV 89149-3263 | 2020-07-15 |
| 1497372635 | Cheryl Everage | Counselor | 1901 Little Bow Ave, North Las Vegas, NV 89084-2008 | 2020-07-04 |
| 1760009773 | Jprm Group LLC | Counselor | 3925 N Martin L King Blvd Ste 113, N Las Vegas, NV 89032-7674 | 2020-06-26 |
| 1992326672 | Felicia Kampf | Counselor | 1030 Holcomb Ave, Reno, NV 89502-2427 | 2020-05-04 |
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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.