DR. AINA JOY VON DAHLBERG (NPI# 1336460971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336460971 |
Entity Type | Individual |
Full Name | DR. AINA JOY VON DAHLBERG |
Other Name | DR. INA JOY YVONNE MODDE-DAHLBERG |
Credential | PHD LCPC LMFT LAC |
Practice Address |
3740 Idaho St Elko NV 89801 |
Mailing Address |
2047 N Last Chance Gulch Apt 173 Helena MT 59601-0744 |
Practice Telephone | 7757738004 |
Mailing Telephone | 4063010424 |
Enumeration Date | 2010-06-17 |
Last Update Date | 2020-09-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1260 | MT | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
1435 | MT | Behavioral Health & Social Service Providers |
N | 106H00000X | Marriage & Family Therapist | 68 | MT | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
5649 Alabama Dr, Helena, MT 596026806 | 4069801350 |
Street Address |
3740 IDAHO ST |
City | ELKO |
State | NV |
Zip Code | 89801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376624494 | Vitality Unlimited | Substance Abuse Rehabilitation Facility | 3740 Idaho St, Elko, NV 89801-4611 | 2006-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043780638 | Ashleigh Unique Hopson | Behavior Technician | 764 S 5th St #23, Elko, NV 89801 | 2018-11-27 |
1457829822 | Asuzena Cruz Lopez | Behavior Technician | 250 Lamoille Hw, Suite 103, Elko, NV 89801 | 2018-11-05 |
1326542770 | Iona Michelle Weeks | Nurse Practitioner | 1993 Errecart Blvd., Elko, NV 89801 | 2018-03-21 |
1720588395 | Arturo Ruiz Jr. | Behavior Technician | 251 West River #26, Elko, NV 89801 | 2018-02-20 |
1942748231 | Mhm Solution Inc | Early Intervention Provider Agency | 2350 North 5th Street, Elko, NV 89801 | 2017-02-07 |
1861842064 | Daniel Honneyman | Emergency Medicine | Northeastern Regional Hospital, 2001 Errecart Blvd, Elko, NV 89801 | 2016-06-17 |
1265898068 | Full Range Physical Therapy, LLC | Clinic/Center | 620 S. 12th St. Ste. 110, Elko, NV 89801 | 2016-01-08 |
1932577889 | Brandie Lee Oros | Nurse Practitioner | 160 12th Street, Elko, NV 89801 | 2015-09-09 |
1770900441 | Sarah Jean Martinez | Physical Therapist | 620 S. 12th St., Ste. 110, Elko, NV 89801 | 2014-03-19 |
1841627916 | Ron Zedek Md PC | Counselor | 1250 Lamoille Ave Ste 103, Elko, NV 89801 | 2013-10-03 |
Find all providers in zip 89801 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023416377 | Gloria Edgar | Counselor | 2709 Latley Bridge Rd, Elko, GA 31025-2326 | 2014-12-17 |
1093023905 | Tayla Hadley | Counselor | 215 Bluffs Ave Ste 200, Elko, NV 89801-2465 | 2010-09-14 |
1053407635 | Christian Anderson | Counselor | 380 Court St, Elko, NV 89801-3158 | 2006-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801497839 | Joseph Javier | Counselor | 526 S Tonopah Dr Ste 140, Las Vegas, NV 89106-4044 | 2020-11-05 |
1487252730 | Malka Moskowitz | Counselor | 2520 Saint Rose Pkwy Ste 108, Henderson, NV 89074-7784 | 2020-10-09 |
1881206605 | Healing and Wholeness | Counselor | 9634 Hawk Cliff Ave, Las Vegas, NV 89148-4716 | 2020-08-21 |
1396356929 | A-plus Community Counseling Services LLC | Counselor | 3651 S Lindell Dr Ste D15, Las Vegas, NV 89103 | 2020-08-17 |
1386261071 | Cassandra L Cotton | Counselor | 522 Seneca Ridge Ave, North Las Vegas, NV 89084-1314 | 2020-06-29 |
1295352920 | Keegan Pollak | Counselor | 375 Harbour Cove Dr Apt 407, Sparks, NV 89434-7807 | 2020-06-29 |
1700408978 | New Perspectives Behavioral Health LLC | Counselor | 725 Jacobs Ladder Pl, Las Vegas, NV 89138-7540 | 2020-05-11 |
1851924567 | Ellen Francine Fields | Counselor | 2169 Eagle Sticks Dr, Henderson, NV 89012-2538 | 2020-02-20 |
1821628199 | Lifestyle Overhaul, LLC | Counselor | 98 E Lake Mead Pkwy Ste 201, Henderson, NV 89015-6443 | 2020-01-24 |
1265075139 | Dennis Patrick Smith | Counselor | 2225 E Flamingo Rd Ste 102, Las Vegas, NV 89119-5126 | 2019-10-23 |
Find all providers with the same taxonomy |
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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.