BRAXTON CHAD STORM (NPI# 1558987180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558987180 |
| Entity Type | Individual |
| Full Name | BRAXTON CHAD STORM |
| Credential | MSW, LSW |
| Practice Address |
2990 W. Sundridge Heights Pkwy Suite #140 Henderson NV 89052 |
| Mailing Address |
1009 Partlow Ct Henderson NV 89015-6962 |
| Practice Telephone | 7028088141 |
| Practice Fax Number | 7029445498 |
| Mailing Telephone | 5305202840 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2990 W. SUNDRIDGE HEIGHTS PKWY SUITE #140 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| 1508303090 | Ghc of Henderson LLC | Skilled Nursing Facility | 2855 W Horizon Ridge Pkwy, Henderson, NV 89052 | 2017-01-23 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708310 | Heather Adams | Counselor | 915 Alper Center Dr Unit 3205, Henderson, NV 89052-1539 | 2020-10-18 |
| 1023627734 | Nicole R Vaughn Changing Minds | Counselor | 1070 Wigwam Pkwy Ste 120, Henderson, NV 89074-8193 | 2020-07-28 |
| 1710505722 | Christopher Flynn II | Counselor | 540 W Horizon Ridge Pkwy, Henderson, NV 89012-5202 | 2020-07-07 |
| 1215551841 | Jacqueline Marie Villalobos | Counselor | 1404 Blaine Ranch St, Henderson, NV 89012-4805 | 2020-05-29 |
| 1750914792 | Charles Jacob Stockwell | Counselor | 2473 Bench Reef Pl, Henderson, NV 89052-5202 | 2020-02-18 |
| 1184260788 | Nathaniel Jacob Minetto | Counselor | 375 N Stephanie St # 8, Henderson, NV 89014-8771 | 2019-11-19 |
| 1225692965 | Jeannette Alina Cabagua | Counselor | 724 Bollons Island St, Henderson, NV 89002-0966 | 2019-04-29 |
| 1952862542 | Pervin N/a Gupta | Counselor | 2535 Binary Stars St, Henderson, NV 89044-4427 | 2019-03-27 |
| 1194289710 | Ernest Griego | Counselor | 2050 S Magic Way Spc 130, Henderson, NV 89002-8636 | 2019-01-28 |
| 1538633839 | Christina Noel Mellenberger | Counselor | 512b Deer Dr, Henderson, TN 38340-7116 | 2019-01-20 |
| Find all providers in HENDERSON | ||||
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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.