MS. KELLY MAE BEACH (NPI# 1215158746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215158746 |
| Entity Type | Individual |
| Full Name | MS. KELLY MAE BEACH |
| Credential | MA |
| Practice Address |
3652 N Rancho Dr Ste. 102 Las Vegas NV 89130-3178 |
| Mailing Address |
3652 N. Rancho Dr. Ste. 102 Las Vegas NV 89130 |
| Practice Telephone | 7023346162 |
| Practice Fax Number | 7025150660 |
| Mailing Telephone | 7023346162 |
| Mailing Fax Number | 7025150660 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2012-03-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 01076 | NV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100512262 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649668765 | Kelly Beach | Physician Assistant | 300 W Myrtle St, Suite 100, Boise, ID 83702-7690 | 2014-12-23 |
| Street Address |
3652 N RANCHO DR STE. 102 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89130-3178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053769901 | Evolution Foster Care Inc | Foster Care Agency | 3652 N Rancho Dr, Suite 102, Las Vegas, NV 89130-3178 | 2016-06-01 |
| 1205201365 | Evolving Reflections-mallinger, Pllc | Marriage & Family Therapist | 3652 N Rancho Dr, Las Vegas, NV 89130-3178 | 2015-12-01 |
| 1912337262 | Megan Ashley Harper | Counselor | 3652 N Rancho Dr, Suite 102, Las Vegas, NV 89130-3178 | 2013-11-23 |
| 1083057681 | Aleshia Stepney | Behavioral Analyst | 3652 N Rancho Dr, Suite 102, Las Vegas, NV 89130 | 2013-04-12 |
| 1699049056 | Msk Solutions Nv LLC | Community/Behavioral Health | 3652 N Rancho Dr, Suite 102, Las Vegas, NV 89130-3178 | 2012-03-02 |
| 1316244981 | Beach Therapy | Marriage & Family Therapist | 3652 N Rancho Dr, Suite 102, Las Vegas, NV 89130-3178 | 2011-02-17 |
| 1427266139 | Lissette Artiga | Counselor | 3652 N Rancho Dr, Suite 102, Las Vegas, NV 89130-3178 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374031 | Mindworks Behavioral Health & Medical Center | Clinic/Center | 7495 W. Azure Dr., Ste. 240, Las Vegas, NV 89130 | 2019-12-26 |
| 1669033833 | Doran Gaston | Behavioral Analyst | 3560 N Rancho Dr., Suite 109, Las Vegas, NV 89130 | 2019-06-27 |
| 1700447547 | Lakeisha Lloved | Behavioral Analyst | 3650 N Ranch Dr., Suite 109, Las Vegas, NV 89130 | 2019-06-24 |
| 1952962797 | Dana Lloved | Behavioral Analyst | 5650 N. Rancho Dr., 109, Las Vegas, NV 89130 | 2019-06-24 |
| 1316501596 | Positively Therapy | Counselor | 5071 N Rainbow Blvd #170, Las Vegas, NV 89130 | 2019-04-23 |
| 1427518356 | Rebecca Aragon | Behavioral Analyst | 5803 West Craig Road, Las Vegas, NV 89130 | 2019-03-25 |
| 1568929198 | Clear Choice Therapeutic Center, LLC | Community/Behavioral Health | 4079 North Rancho Drive, Suite 160, Las Vegas, NV 89130 | 2019-03-01 |
| 1699239095 | Jennifer Lee Kearns | Rehabilitation Practitioner | 3680 N Racho Drive, Las Vegas, NV 89130 | 2019-01-30 |
| 1730651852 | Sunrise Adult Day Care | Clinic/Center | 3930 Leon Ave #130, Las Vegas, NV 89130 | 2018-12-31 |
| 1376015685 | Sunrise Adult Day Care | Clinic/Center | 3930 Leon Ave Suite # 130, Las Vegas, NV 89130 | 2018-12-27 |
| Find all providers in zip 89130 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382424 | Angelic Solution Wellness Center, LLC | Marriage & Family Therapist | 3600 Monarcas St Unit 102, Las Vegas, NV 89108-8718 | 2020-09-25 |
| 1396350914 | Victoria Denise Means | Marriage & Family Therapist | 4535 W Russell Rd, Las Vegas, NV 89118-2257 | 2020-09-10 |
| 1215549357 | Caitlyn Gilmour | Marriage & Family Therapist | 2915 W Charleston Blvd Ste 130, Las Vegas, NV 89102-1975 | 2020-08-19 |
| 1801415344 | Adrienne Oneal | Marriage & Family Therapist | 10655 Park Run Dr Ste 200, Las Vegas, NV 89144-4590 | 2020-04-14 |
| 1003440116 | Cynrg Enterprises LLC | Marriage & Family Therapist | 6578 Creekside Cellars Court, Las Vegas, NV 89139 | 2020-02-27 |
| 1457999195 | Julie Robinson | Marriage & Family Therapist | 601 S Rancho Dr Ste 10, Las Vegas, NV 89106-4899 | 2019-12-12 |
| 1588209027 | Mark Stets | Marriage & Family Therapist | 3925 Lost Miner Ct, Las Vegas, NV 89129-7658 | 2019-11-07 |
| 1316597321 | James Michael Thomas | Marriage & Family Therapist | 3270 Liahona Way, Las Vegas, NV 89121-5714 | 2019-09-12 |
| 1053968123 | Dennis Leroy Henson | Marriage & Family Therapist | 7945 Blue Venice Ct, Las Vegas, NV 89117-2515 | 2019-08-22 |
| 1467008557 | Alma Rosa Spears | Marriage & Family Therapist | 2850 Lindell Rd, Las Vegas, NV 89146-6815 | 2019-08-14 |
| 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.