JEANINE SERUSA (NPI# 1356963144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356963144 |
| Entity Type | Individual |
| Full Name | JEANINE SERUSA |
| Credential | CADC-I |
| Practice Address |
1201 N Stewart St Ste 120 Carson City NV 89706-3004 |
| Mailing Address |
2777 Northtowne Ln Apt W2108 Reno NV 89512-5028 |
| Practice Telephone | 7753507250 |
| Practice Fax Number | 7754613570 |
| Mailing Telephone | 7756226450 |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
02502-I | NV | Behavioral Health & Social Service Providers |
| Street Address |
1201 N STEWART ST STE 120 |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89706-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083995963 | Ruth Ellen Fox | Registered Nurse | 1201 N Stewart St Ste 120, Carson City, NV 89706-3004 | 2011-09-06 |
| 1295269611 | Cheyenne Fletcher | Registered Nurse | 1201 N Stewart St Ste 120, Carson City, NV 89706-3004 | 2017-04-12 |
| 1841743762 | The Life Change Center | Psychologist | 1201 N Stewart St Ste 120, Carson City, NV 89706-3004 | 2016-07-27 |
| 1073978151 | The Life Change Center | Psychologist | 1201 N Stewart St Ste 120, Carson City, NV 89706-3004 | 2015-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144795741 | Vera Whole Health, Wa PC | Clinic/Center | 190 E. Winnie Lane, Carson City, NV 89706 | 2018-10-10 |
| 1811339013 | Eng Keong Tan | Internal Medicine | 2874 N Carson St Ste 120, Carson City, NV 89706 | 2013-07-29 |
| 1649583691 | Tamara June Nance | Marriage & Family Therapist | 1047 Mark Way, Carson City, NV 89706 | 2010-07-20 |
| 1992926646 | Jack Richard Araza | Psychologist | 309 East John St. Ste #1, Carson City, NV 89706 | 2007-05-01 |
| 1003939356 | Kenneth Anthony Edwards | Psychologist | 10116 Highway 50 East, Suite 101, Mound House, NV 89706 | 2007-04-09 |
| 1528132065 | Raymond B Graber II | Dentist | 2600 E College Parkway H23, Carson City, NV 89706 | 2006-11-17 |
| 1619511268 | Lindsey Michele Benedict | Pharmacist | 3325 Research Way, Community Health Pharmacy, Carson City, NV 89706 | 2019-11-06 |
| 1598279648 | Michelle Rae Tye | Behavior Technician | 3416 Goni Rd Ste D132, Carson City, NV 89706 | 2017-11-28 |
| 1952720203 | Nalini Channapatna Prasanna | Social Worker | 1665 Old Hot Springs Road, Suite 150, Carson City, NV 89706 | 2014-04-15 |
| 1851646657 | Farres Nitam Uddin Ahmed | Radiology | 2874 N Carson St Ste 300, Carson City, NV 89706 | 2012-07-17 |
| Find all providers in zip 89706 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730729294 | James Dyer | Counselor | 900 E Long St Ste 201, Carson City, NV 89706-3106 | 2020-01-13 |
| 1013441716 | Danielle Bennett | Counselor | 1201 N Carson St, Carson City, NV 89701-1203 | 2017-04-19 |
| 1255786828 | Eric Allen Hare | Counselor | 1201 North Stewart Street, Sutie 120, Carson City, NV 89503 | 2016-05-02 |
| 1790130847 | Lindsay Stecher | Counselor | 680 W Nye Ln Ste 202, Carson City, NV 89703-1574 | 2016-04-26 |
| 1780038059 | Edna Miller | Counselor | 841 E Second St, Carson City, NV 89701-5254 | 2016-04-22 |
| 1215353958 | Alexandra Macrenaris | Counselor | 1201 N Stewart St, Carson City, NV 89706-3165 | 2014-03-05 |
| 1104253293 | Vicki Laversa | Counselor | 1802 N Carson St, #155, Carson City, NV 89701-1265 | 2013-10-03 |
| 1740524503 | Bodie Ward Coates | Counselor | 755 N. Roop St. #101, Carson City, NV 89701 | 2012-11-19 |
| 1235425729 | Lauren Melissa Wing | Counselor | 1721 Snyder Ave, Carson City, NV 89701-7812 | 2011-06-22 |
| 1861693145 | David Allen Dummar | Counselor | 603 E Robinson St, Carson City, NV 89701-4022 | 2007-05-31 |
| Find all providers in CARSON CITY | ||||
| City | CARSON CITY |
| Zip Code | 89706 |
Please comment or provide details below to improve the information on JEANINE SERUSA.
| 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.