MATTHEW GJURICH (NPI# 1316342173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316342173 |
| Entity Type | Individual |
| Full Name | MATTHEW GJURICH |
| Practice Address |
930 N 4th St Las Vegas NV 89101-1001 |
| Practice Telephone | 7023834044 |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
930 N 4TH ST |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89101-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669778213 | Andre Hughes | Rehabilitation Practitioner | 930 N 4th St, Las Vegas, NV 89101-1001 | 2011-01-31 |
| 1215448865 | Montanius Damond Chambers | Technician/Technologist | 930 N 4th St, Las Vegas, NV 89101-1001 | 2017-10-22 |
| 1851802524 | Dutchward N/a Major Jr. | Behavior Technician | 930 N 4th St, Las Vegas, NV 89101-1001 | 2017-10-20 |
| 1598276982 | Sally Leibold | Registered Nurse | 930 N 4th St, Las Vegas, NV 89101-1001 | 2017-10-12 |
| 1922519396 | Luther Kendrick | Case Manager/Care Coordinator | 930 N 4th St, Las Vegas, NV 89101-1001 | 2017-10-12 |
| 1154831659 | Ronnie Lincoln Johnson | Technician, Health Information | 930 N 4th St, Las Vegas, NV 89101-1001 | 2017-10-10 |
| 1093225583 | Latisha Neco Risper | Technician, Health Information | 930 N 4th St, Las Vegas, NV 89101-1001 | 2017-10-10 |
| 1780194373 | Jatreyllis Lavarous Mccloud | Licensed Practical Nurse | 930 N 4th St, Las Vegas, NV 89101-1001 | 2017-10-09 |
| 1417467176 | Sabrina Perea | Behavior Technician | 930 N 4th St, Las Vegas, NV 89101-1001 | 2017-10-09 |
| 1578073177 | Andre Hardin | Behavior Technician | 930 N 4th St, Las Vegas, NV 89101-1001 | 2017-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671290 | Nadhc At The Acsc, Inc. | Respite Care | 330 N. 13th Street, Las Vegas, NV 89101 | 2019-10-23 |
| 1861033730 | Militza Mares Mikovich | Case Manager/Care Coordinator | 820 S 7th Street Ste A, Las Vegas, NV 89101 | 2019-10-02 |
| 1598311862 | Catalina Ruiz-perez | Technician | 1420 James St., L, Las Vegas, NV 89101 | 2019-08-13 |
| 1053880831 | Samantha Okumura | Specialist/Technologist | 701 E Bridger Ave Ste 150, Las Vegas, NV 89101 | 2018-11-21 |
| 1447752860 | Ratref T Havlin | Technician | 1820 East Bonanza Apt 1, Las Veges, NV 89101 | 2018-03-01 |
| 1396255808 | David Markus Stevens | Technician/Technologist | 930 N. 4th Street, Las Vegas, NV 89101 | 2017-10-10 |
| 1447789888 | Dustin Douglas | Driver | 50 N 21 St #139, Las Vegas, NV 89101 | 2017-06-08 |
| 1013389535 | Direct Scripts Mail, LLC | Pharmacy | 71 N Pecos Road, Suite 104, Las Vegas, NV 89101 | 2015-10-23 |
| 1699169920 | Westcare Nevada Inc | Community/Behavioral Health | 323 N Maryland Parkway, Las Vegas, NV 89101 | 2015-03-25 |
| 1639574262 | Misty Davis | Registered Nurse | 930 N. 4th St., Las Vegas, NV 89101 | 2014-10-24 |
| Find all providers in zip 89101 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
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| 1831707975 | Jennifer Fluharty | Counselor | 8934 Candice Creek Ct, Las Vegas, NV 89149-3263 | 2020-07-15 |
| 1225666597 | Gwendolyn Mallory | Counselor | 4550 W Sahara Ave Apt 1241, Las Vegas, NV 89102-3648 | 2020-03-31 |
| 1134754120 | Shelley Denise Sargent | Counselor | 10593 Harvest Green Way, Las Vegas, NV 89135-1245 | 2020-03-10 |
| 1720610637 | Dsa Technoligies LLC | Counselor | 9504 City Hill Ct, Las Vegas, NV 89134-1711 | 2020-02-08 |
| 1811532781 | Melanie Fedraw | Counselor | 3661 S Maryland Pkwy Ste 64, Las Vegas, NV 89169-3005 | 2019-11-14 |
| 1457906729 | Elizabeth Ann Morris | Counselor | 7408 Mountain Thicket St, Las Vegas, NV 89131-4542 | 2019-08-05 |
| 1902450455 | Tracey Anora Henry | Counselor | 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 | 2019-08-01 |
| 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.