CIRCLE OF CHANGE ADOLESCENT BEHAVIORAL HEALTH COUNSELING CENTER (NPI# 1437385408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437385408 |
| Entity Type | Organization |
| Organization Name | CIRCLE OF CHANGE ADOLESCENT BEHAVIORAL HEALTH COUNSELING CENTER |
| Other Organization Name | CIRCLE OF CHANGE COUNSELING CENTER |
| Practice Address |
5516 S Fort Apache Rd Ste 120 Las Vegas NV 89148-7679 |
| Practice Telephone | 7024791629 |
| Mailing Telephone | 7024791629 |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-04 |
| Authorized Official Name | DR. SYLVIA NASEATH (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 7024791629 |
| Authorized Official Credential | PHD, LCSW, LADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
01201-L | NV | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 01010 | NV | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
4785-C | NV | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Circle of Change Counseling Center | Doing Business As Name - Organization |
| Street Address |
5516 S FORT APACHE RD STE 120 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89148-7679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669609913 | Megan Sanders | Counselor | 5516 S Fort Apache Rd Ste 120, Las Vegas, NV 89148-7679 | 2009-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1689280588 | Santos Nunez | Technician | 7950 Mcginnis Ave, Las Vegas, NV 89148 | 2020-09-17 |
| 1861007734 | Daniel D Forro | Occupational Therapist | 10164 Phelps Lake Ct, Las Vegas, NV 89148 | 2020-09-08 |
| 1568098309 | Moinca R Ponce | Dentist | 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 | 2020-03-12 |
| 1689214876 | Mama Dukes Healthcare Services LLC | Rehabilitation Counselor | 9908 Masterpeice Drive, Las Vegas, NV 89148 | 2020-01-15 |
| 1720621865 | Building Hope Nevada | Community/Behavioral Health | 8936 Spanish Ridge, Las Vegas, NV 89148 | 2019-10-22 |
| 1790343721 | Maretes Godinez | Case Manager/Care Coordinator | 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 | 2019-06-04 |
| 1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
| 1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
| 1902393929 | Hogue Healing Health and Hope, Pllc Dba H3, Pllc | Social Worker | 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 | 2018-04-16 |
| Find all providers in zip 89148 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933067 | Michelle Rocha | Social Worker | 5912 Kit Cove Ct, Las Vegas, NV 89131-2088 | 2020-08-21 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1376161315 | Depth Psychological Services | Social Worker | 10616 Zingali Ct, Las Vegas, NV 89141-4251 | 2020-07-07 |
| 1659993475 | Judith Rosen | Social Worker | 220 E Flamingo Rd Unit 423, Las Vegas, NV 89169-0306 | 2020-05-14 |
| 1912529066 | Stacy Ilene Benham | Social Worker | 2601 S Grand Canyon Dr Apt 2003, Las Vegas, NV 89117-3671 | 2020-05-12 |
| 1851912539 | Angelique Charity Murguia | Social Worker | 7928 Rushmore Ave, Las Vegas, NV 89131-1552 | 2020-05-04 |
| 1639703598 | Lauren Fousek | Social Worker | 610 S Rancho Drive, #a10, Las Vegas, NV 89106-8910 | 2020-02-28 |
| 1780217679 | 58 10 Behavioral Health Services Pllc | Social Worker | 1810 E Sahara Ave Ste 212 373, Las Vegas, NV 89104-3707 | 2020-02-19 |
| 1801428602 | Chasstiry Vazquez | Social Worker | 2215 Renaissance Dr Ste C, Las Vegas, NV 89119-6729 | 2020-02-10 |
| 1437707486 | Charlene Miranda Paule | Social Worker | 2340 Paseo Del Prado Ste D110, Las Vegas, NV 89102-4340 | 2019-09-03 |
| 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.