MAPLE STAR NEVADA (NPI# 1649645177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649645177 |
| Entity Type | Organization |
| Organization Name | MAPLE STAR NEVADA |
| Practice Address |
2725 E Desert Inn Rd Ste 180 Las Vegas NV 89121-3627 |
| Practice Telephone | 7027338098 |
| Practice Fax Number | 7023956457 |
| Mailing Telephone | 7027338098 |
| Mailing Fax Number | 7023956457 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |
| Authorized Official Name | DARLENE DUFAULT (STATE DIRECTOR) |
| Authorized Official Telephone | 7022528342 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821549270 | Maple Star Nevada | Counselor | 4773 Caughlim Pkwy, Suite 2, Reno, NV 89519 | 2016-10-20 |
| 1942595210 | Maple Star Nevada | Foster Care Agency | 8455 Offenhauser Dr, #517, Reno, NV 89511 | 2011-06-15 |
| 1114159787 | Maple Star Nevada | Community/Behavioral Health | 2090 Seattle Shore St, Las Vegas, NV 89115-5227 | 2009-08-17 |
| 1245437458 | Maple Star Nevada | Community/Behavioral Health | 2965 S. Jones Blvd. Ste. E1, Las Vegas, NV 89146-5606 | 2007-06-29 |
| 1760523658 | Maple Star Nevada | Clinic/Center | 2965 S Jones Blvd Ste 101, Las Vegas, NV 89146-5629 | 2007-02-12 |
| 1356482236 | Maple Star Nevada | Clinic/Center | 100 Washington St. Ste 350, Tucson, AZ 85711 | 2007-02-12 |
| 1730220930 | Maple Star Nevada | Clinic/Center | 495 Idaho St Ste 101, Elko, NV 89801-3713 | 2007-02-09 |
| 1972644144 | Maple Star Nevada | Clinic/Center | 2965 S Jones Blvd Ste E1, Las Vegas, NV 89146-5606 | 2007-02-09 |
| 1912048547 | Maple Star Nevada | Clinic/Center | 100 Washington St Ste 350, Reno, NV 89503-5648 | 2007-02-08 |
| 1407469034 | Maple Star Nevada | Community/Behavioral Health | 855 W 7th St, Reno, NV 89503-2745 | 2020-08-24 |
| Street Address |
2725 E DESERT INN RD STE 180 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89121-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871867820 | Alese Mckinney | Counselor | 2725 E Desert Inn Rd Ste 180, Las Vegas, NV 89121-3627 | 2012-03-07 |
| 1790331858 | Elissa Cae Evans | Counselor | 2725 E Desert Inn Rd Ste 180, Las Vegas, NV 89121-3627 | 2019-08-14 |
| 1831654425 | Divinia Antoinette Robinson | Counselor | 2725 E Desert Inn Rd Ste 180, Las Vegas, NV 89121-3627 | 2019-02-07 |
| 1134605520 | Tara Self | Social Worker | 2725 E Desert Inn Rd Ste 180, Las Vegas, NV 89121-3627 | 2018-07-18 |
| 1871086504 | Magdalena Palma | Counselor | 2725 E Desert Inn Rd Ste 180, Las Vegas, NV 89121-3627 | 2018-06-07 |
| 1003308883 | Desiree Schutte | Counselor | 2725 E Desert Inn Rd Ste 180, Las Vegas, NV 89121-3627 | 2018-06-06 |
| 1952893752 | Lourdes Reyes | Counselor | 2725 E Desert Inn Rd Ste 180, Las Vegas, NV 89121-3627 | 2018-06-06 |
| 1215426259 | Stacey Loffredo | Counselor | 2725 E Desert Inn Rd Ste 180, Las Vegas, NV 89121-3627 | 2018-05-04 |
| 1437648557 | Sydney Grace Overlien | Counselor | 2725 E Desert Inn Rd Ste 180, Las Vegas, NV 89121-3627 | 2018-05-03 |
| 1619466042 | Tanya Kaye Sam | Counselor | 2725 E Desert Inn Rd Ste 180, Las Vegas, NV 89121-3627 | 2018-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379117 | Western State Behavioral Health and Psychiatric Services | Psychologist | 3910 Pecos-mcleod Interconnect, Las Vegas, NV 89121 | 2020-09-01 |
| 1962025155 | Arieste Diaz Perez | Clinic/Center | 3777 Pecos-mcleod Interconnect, Suite 101, Las Vegas, NV 89121 | 2020-05-21 |
| 1366071904 | Vanesa Silva | Behavior Technician | 4714 Flamigo Rd, Las Vegas, NV 89121 | 2020-04-06 |
| 1053955732 | Valente Solis Santiago | Technician | 2785 E. Desert Inn Rd Ste. 240, Las Vegas, NV 89121 | 2019-11-05 |
| 1750938981 | Ken Ernst | Rehabilitation Practitioner | Primary Solutions Medical Billing, 4525 S. Sandhill Rd Ste #112, Las Vegas, NV 89121 | 2019-08-22 |
| 1902450455 | Tracey Anora Henry | Counselor | 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 | 2019-08-01 |
| 1679127096 | Wilma Guadalupe Nunez | Chore Provider | 2860 East Flamingo, Suite C, Las Vegas, NV 89121 | 2019-07-25 |
| 1487213807 | Karla Susana Ayala | Chore Provider | 2860 E. Flamingo Rd Ste K., Las Vegas, NV 89121 | 2019-06-10 |
| 1447819164 | Jovita Garcia-perez | Chore Provider | 2860 E. Flamingo Suite C, Suite C, Las Vegas, NV 89121 | 2019-06-06 |
| 1164081972 | Maria Isabel Castellanos Gonzalez | Chore Provider | 2860 E. Flamingo Rd Ste K, Las Vegas, NV 89121 | 2019-06-06 |
| Find all providers in zip 89121 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295848 | Renaissance Mental Health Corporation | Clinic/Center | 3663 E Sunset Rd Ste 201c, Las Vegas, NV 89120-3246 | 2020-11-05 |
| 1447866801 | Steadfast Behavioral Clinic LLC | Clinic/Center | 8612 Copper Knoll Ave, Las Vegas, NV 89129-7649 | 2020-09-21 |
| 1306450978 | Super Life Codes Foundation | Clinic/Center | 4276 Spring Mountain Rd Unit 214, Las Vegas, NV 89102-8781 | 2020-09-01 |
| 1194335554 | New Leaf Wellness & Behavioral Health LLC | Clinic/Center | 3430 E Flamingo Rd Ste 244, Las Vegas, NV 89121-5020 | 2020-07-31 |
| 1700495884 | Fmt Behavioral Health Services | Clinic/Center | 4170 S Decatur Blvd Ste A6, Las Vegas, NV 89103-5862 | 2020-07-24 |
| 1962011049 | Nevada Psychotherapy Practice LLC | Clinic/Center | 8766 S Maryland Pkwy Ste 105, Las Vegas, NV 89123-6701 | 2020-07-24 |
| 1346858024 | Fairclough Consulting Services, LLC | Clinic/Center | 9224 Tudor Park Pl, Las Vegas, NV 89145-8726 | 2020-07-17 |
| 1841818457 | Wellness Foundation | Clinic/Center | 9850 S Maryland Pkwy # 5-371, Las Vegas, NV 89183-7146 | 2020-07-09 |
| 1225656358 | Behavioral and Health Management LLC | Clinic/Center | 1500 E Tropicana Ave Ste 155, Las Vegas, NV 89119-6516 | 2020-07-06 |
| 1366069312 | Holding Onto Hope L.l.c | Clinic/Center | 2725 W Wigwam Ave Apt 2108, Las Vegas, NV 89123-6611 | 2020-06-25 |
| 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.