MS. STACIE LYN SKILLMAN (NPI# 1316299654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316299654 |
| Entity Type | Individual |
| Full Name | MS. STACIE LYN SKILLMAN |
| Practice Address |
327 Via Della Greca Henderson NV 89011-1701 |
| Practice Telephone | 7602678948 |
| Mailing Telephone | 7602678948 |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2020-07-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171W00000X | Contractor | Other Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
327 VIA DELLA GRECA |
| City | HENDERSON |
| State | NV |
| Zip Code | 89011-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568070720 | A Day To Prevail Family Enhancement LLC | Residential Treatment Facility, Emotionally Disturbed Children | 327 Via Della Greca, Henderson, NV 89011-1701 | 2020-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891322749 | Lauren Chapple Love | Student in an Organized Health Care Education/Training Program | 1820 E. Warm Springs Rd, Suite 115, Suite 115, Henderson, NV 89011 | 2020-03-23 |
| 1972139780 | Fresenius Medical Care Nkdhc, LLC | Clinic/Center | 1051 Wellness Pl, Suite 100, Henderson, NV 89011 | 2020-03-13 |
| 1720508658 | Dennis Cortez | Nurse Practitioner | 800 N. Gibson Rd., 201, Henderson, NV 89011 | 2017-06-21 |
| 1003281452 | Henderson Hospital | General Acute Care Hospital | 1050 West Galleria Drive, Henderson, NV 89011 | 2015-12-10 |
| 1962821645 | Champions Behavioral Health Care | Counselor | 833 Aspen Peak Loop #524, Henderson, NV 89011 | 2014-04-10 |
| 1154748127 | Mission Treatment Centers, Inc. | Community/Behavioral Health | 1536 N. Boulder Highway, Henderson, NV 89011 | 2014-03-27 |
| 1174951651 | Neveda Behavioral Health | Behavioral Analyst | 930 Canale Drive, Henderson, NV 89011 | 2013-10-21 |
| 1720358039 | Dignity Health | Neurological Surgery | 800 N Gibson Rd Ste 101, Henderson, NV 89011 | 2012-01-03 |
| 1003102682 | Kerri S. Korin | Social Worker | 3155 E. Patrick Lane, Suite 1, Las Vegas, NV 89011 | 2011-06-22 |
| 1306163993 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 513 West Sunset Rd, Henderson, NV 89011 | 2010-04-22 |
| Find all providers in zip 89011 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766670 | Positivity Counseling Center | Community/Behavioral Health | 3488 Alghero Ave, Henderson, NV 89044-1795 | 2020-10-01 |
| 1881207231 | Beyond Counseling & Consulting, LLC | Community/Behavioral Health | 10120 S Eastern Ave Ste 200, Henderson, NV 89052-3926 | 2020-08-26 |
| 1578171807 | Second Chances Behavioral Health | Community/Behavioral Health | 2715 Briarcliff Ave, Henderson, NV 89074-1210 | 2020-07-22 |
| 1861021438 | Raquel Martinez | Community/Behavioral Health | 870 Seven Hills Dr Ste 203, Henderson, NV 89052-4379 | 2020-04-06 |
| 1417506080 | Common Sense Behavioral Health | Community/Behavioral Health | 2722 Briarcliff Ave, Henderson, NV 89074-1251 | 2019-09-06 |
| 1740832617 | Aldis Therapy Services | Community/Behavioral Health | 2990 Sunrdg Hgts Ste 140, Henderson, NV 89052-4469 | 2019-07-11 |
| 1801356316 | Guardian Angel Healthcare, LLC | Community/Behavioral Health | 123 Young St, Henderson, NC 27536-4248 | 2019-03-21 |
| 1124587720 | Cornelius Williams | Community/Behavioral Health | 121 Young St, Henderson, NC 27536-4248 | 2019-03-14 |
| 1093274649 | Yasmene Kyle | Community/Behavioral Health | 339 Tin St Apt 522, Henderson, NV 89015-7392 | 2019-03-13 |
| 1124599840 | Able Mental Health Agency | Community/Behavioral Health | 764 Golden Sedum Dr, Henderson, NV 89011-2641 | 2018-12-06 |
| Find all providers in HENDERSON | ||||
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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.