MS. DEANDRE LISA GREEN (NPI# 1427216217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427216217 |
| Entity Type | Individual |
| Full Name | MS. DEANDRE LISA GREEN |
| Credential | M.ED. |
| Practice Address |
5615 S Pecos Rd Las Vegas NV 89120-1961 |
| Mailing Address |
8485 Barossa Ct Las Vegas NV 89117-9158 |
| Practice Telephone | 7027368100 |
| Practice Fax Number | 7027367881 |
| Mailing Telephone | 7027368100 |
| Mailing Fax Number | 7027367881 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |
| 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 |
|---|---|---|---|---|
| 1417190380 | Deandre Green | Counselor | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2009-04-08 |
| Street Address |
5615 S PECOS RD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89120-1961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487824207 | Nevada Children's Center | Counselor | 5615 S Pecos Rd, Las Vegas, NV 89120-1961 | 2008-03-07 |
| 1053760298 | Tia Monique Deloatch | Rehabilitation Practitioner | 5615 S Pecos Rd, Las Vegas, NV 89120-1961 | 2016-06-08 |
| 1275994469 | Amanda Flensburg | Rehabilitation Practitioner | 5615 S Pecos Rd, Las Vegas, NV 89120-1961 | 2016-03-15 |
| 1891165445 | Melisa Baumgartner | Rehabilitation Practitioner | 5615 S Pecos Rd, Las Vegas, NV 89120-1961 | 2015-09-25 |
| 1588033757 | Samola Mckellar | Rehabilitation Practitioner | 5615 S Pecos Rd, Las Vegas, NV 89120-1961 | 2015-09-17 |
| 1073989430 | Ronald Thomas | Rehabilitation Practitioner | 5615 S Pecos Rd, Las Vegas, NV 89120-1961 | 2015-08-19 |
| 1073998753 | Olivia Vanorden | Rehabilitation Practitioner | 5615 S Pecos Rd, Las Vegas, NV 89120-1961 | 2015-07-23 |
| 1235511577 | Anabel Regalado Carrillo | Rehabilitation Practitioner | 5615 S Pecos Rd, Las Vegas, NV 89120-1961 | 2015-06-23 |
| 1417348079 | Barbara Edna Torres | Rehabilitation Practitioner | 5615 S Pecos Rd, Las Vegas, NV 89120-1961 | 2015-02-18 |
| 1366847980 | Nathan Gord | Rehabilitation Practitioner | 5615 S Pecos Rd, Las Vegas, NV 89120-1961 | 2014-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850144 | Mental Edge Therapy Professional LLC | Psychologist | 2520 St. Rose Parkway, Suite 220-a (219), Las Vegas, NV 89120 | 2020-10-30 |
| 1740896877 | Global Behavior Analyst | Behavioral Analyst | 2510 East Sunset Rd, Ste 5 Pmb 670, Las Vegas, NV 89120 | 2020-09-23 |
| 1225656804 | Michael Y Chang Md PC | Anesthesiology | 2700 Sunset Rd B18, Las Vegas, NV 89120 | 2020-07-09 |
| 1053962142 | Arlene M Mcmillen | Technician | 3321 Casey Drive, Apt 104 Bldg 15, Las Vegas, NV 89120 | 2019-09-20 |
| 1942858634 | Michael A Fortunato Md Pllc | Anesthesiology | Michael A Fortunato, Md Pllc, 2700 Sunset Rd #b18, Las Vegas, NV 89120 | 2019-08-27 |
| 1023664521 | Christine White | Behavior Technician | 8431 Sunset Road, Suite 110, Henderson, NV 89120 | 2019-08-12 |
| 1922653435 | David Stefon Mayo | Technician | 3960 E. Patrick Lane, Suite 202., Las Vegas, NV 89120 | 2019-08-02 |
| 1346893724 | Joseph Acuna | Technician | 3960 E. Patrick Lane, Suite 202, Las Vegas, NV 89120 | 2019-07-24 |
| 1588217582 | Va Natasha Manutai | Technician | 3980 E Patrick Lane, Suite 202, Las Vegas, NV 89120 | 2019-07-18 |
| 1811557788 | Fidencia Gutierrez | Chore Provider | 2690 Chandler Ave. Ste. 1, Ste. 1, Las Vegas, NV 89120 | 2019-06-13 |
| Find all providers in zip 89120 | ||||
| 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.