AYSAN ANNELISE SANDOVAL (NPI# 1477999647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477999647 |
| Entity Type | Individual |
| Full Name | AYSAN ANNELISE SANDOVAL |
| Credential | MS NCC CPC |
| Practice Address |
3376 S Eastern Ave Ste 160 Las Vegas NV 89169-3388 |
| Mailing Address |
4017 Keasberry Ave North Las Vegas NV 89081-6693 |
| Practice Telephone | 7024909009 |
| Practice Fax Number | 8667376147 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
NV | Behavioral Health & Social Service Providers | |
| Y | 101YP2500X |
Counselor Specialization: Professional |
CP3048 | NV | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8685 S Eastern Ave, Las Vegas, NV 891232839 | 7027540807 |
| Street Address |
3376 S EASTERN AVE STE 160 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89169-3388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038196 | Tammy E Smith | Home Health | 1500 Karen Ave, 65, Las Vegas, NV 89169 | 2020-09-16 |
| 1457978561 | Damon Lavell Cohran | Counselor | 459 Sierra Vista Dr, 32, Las Vegas, NV 89169 | 2020-07-06 |
| 1912543307 | Josephine R Hernandez | Rehabilitation Practitioner | Firstmed Health and Wellness Center Inc., 3343 S. Eastern Avenue, Las Vegas, NV 89169 | 2019-11-21 |
| 1528602174 | Cindy Pena Jaramillo | Technician | 3376 S. Eaatern Ave, Las Vegas, NV 89169 | 2019-11-06 |
| 1497309967 | Richard Snarr Worthen | Technician | 3175 South Eastern Ave, Las Vegas, NV 89169 | 2019-08-01 |
| 1447718796 | Hope Industries LLC | Chore Provider | 1711 E Desert Inn Rd, Las Vegas, NV 89169 | 2019-03-06 |
| 1609345321 | Diaz Health LLC | Community/Behavioral Health | 5225 West 2nd Street, Las Vegas, NV 89169 | 2018-11-26 |
| 1902371024 | Kevin Burnett | Technician | 1100 Dunmont Apt 202, Las Vegas, NV 89169 | 2018-10-04 |
| 1659865111 | Kimberly Jackson-hampton | Counselor | 335 E Harmon Ave Apt 30, Las Vegas, NV 89169 | 2018-06-19 |
| 1093216350 | Blessed Services LLC | Community/Behavioral Health | 2525 White Street, Las Vegas, NV 89169 | 2018-02-22 |
| Find all providers in zip 89169 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497839 | Joseph Javier | Counselor | 526 S Tonopah Dr Ste 140, Las Vegas, NV 89106-4044 | 2020-11-05 |
| 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 |
| 1700408978 | New Perspectives Behavioral Health LLC | Counselor | 725 Jacobs Ladder Pl, Las Vegas, NV 89138-7540 | 2020-05-11 |
| 1265075139 | Dennis Patrick Smith | Counselor | 2225 E Flamingo Rd Ste 102, Las Vegas, NV 89119-5126 | 2019-10-23 |
| 1083268577 | Taylor D Bull | Counselor | 7251 Vireo Dr, Las Vegas, NV 89147-4645 | 2019-08-01 |
| 1801351440 | Kathleen Marie Davis | Counselor | 2574 Olay St, Las Vegas, NV 89142-2801 | 2019-02-07 |
| 1770048613 | Natalie King | Counselor | 7260 Las Vegas Blvd S # 210, Las Vegas, NV 89119-4020 | 2019-02-05 |
| 1699257402 | Beth Asaf | Counselor | 2309 Renaissance Dr Ste B, Las Vegas, NV 89119-6160 | 2018-08-29 |
| 1659865111 | Kimberly Jackson-hampton | Counselor | 335 E Harmon Ave Apt 30, Las Vegas, NV 89169 | 2018-06-19 |
| 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.