SHAWN CAROL MCNULTY (NPI# 1316257660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316257660 |
| Entity Type | Individual |
| Full Name | SHAWN CAROL MCNULTY |
| Practice Address |
9131 Ivory Beach Dr Las Vegas NV 89147-6802 |
| Practice Telephone | 7023243534 |
| Mailing Telephone | 7023243534 |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881115590 | Shawn Patrick Mcnulty | Counselor | Colonial Behavioral Health, 1657 Merrimac Trail, Williamsburg, VA 23185 | 2017-07-03 |
| Street Address |
9131 IVORY BEACH DR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89147-6802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593621 | Ata Group Lv | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 10170 W Tropicana Ave Ste 156-211, Las Vegas, NV 89147 | 2020-06-25 |
| 1104474022 | Jacklyn Siagatonu | Behavior Technician | 7125 Grand Montecito Parkway, Las Vegas Nv, N Las Vegas, NV 89147 | 2019-09-04 |
| 1700388253 | Pr Acquisition Corporation | Clinic/Center | 9892 W Flamingo Road, Las Vegas, NV 89147 | 2018-03-01 |
| 1629578836 | Jonathan Balagot Dizon | Optometrist | 4160 S Durango Dr, Las Vegas, NV 89147 | 2018-02-14 |
| 1346751526 | Ignite Teen Treatment, LLC | Clinic/Center | 3722 Lone Mesa Dr, Las Vegas, NV 89147 | 2017-10-16 |
| 1306365275 | Diversified Behavioral Health Services LLC | Community/Behavioral Health | 9636 W.cherokee Ave, Las Vegas, NV 89147 | 2017-09-12 |
| 1356874713 | A8a Personal Care Solution LLC | In Home Supportive Care | 8879 West Flamingo, Ste 101, Las Vegas, NV 89147 | 2017-04-04 |
| 1154782191 | Ma Leah Roble Maravillas | Behavioral Analyst | 9999 W Katie Ave Suite 1313, Las Vegas, NV 89147 | 2016-03-18 |
| 1285010959 | Samantha Lauren Pope | Specialist | 9353 W. Twain Ave, Apt 113, Las Vegas, NV 89147 | 2015-08-05 |
| 1215311980 | Daniel Dorado | Marriage & Family Therapist | 9848 Gallo Dr, Las Vegas, NV 89147 | 2015-07-13 |
| Find all providers in zip 89147 | ||||
| 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.