ELENA PETSAS (NPI# 1649815317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649815317 |
| Entity Type | Individual |
| Full Name | ELENA PETSAS |
| Other Name | ELENA CALDERON PETSAS |
| Credential | CPCI |
| Practice Address |
10655 Park Run Dr Ste 210 Las Vegas NV 89144-4590 |
| Mailing Address |
913 Hickory Park St Las Vegas NV 89138-7595 |
| Practice Telephone | 7025757465 |
| Mailing Telephone | 7025757465 |
| Enumeration Date | 2019-11-16 |
| Last Update Date | 2019-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
10655 PARK RUN DR STE 210 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89144-4590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659728590 | Julie Richards | Behavioral Analyst | 10655 Park Run Dr Ste 210, Las Vegas, NV 89144-4590 | 2016-05-20 |
| 1942812250 | Ohana Health and Wellness Pllc | Counselor | 10655 Park Run Dr Ste 210, Las Vegas, NV 89144-4590 | 2020-08-18 |
| 1003439175 | Red Rock Counseling | Clinic/Center | 10655 Park Run Dr Ste 210, Las Vegas, NV 89144-4590 | 2020-05-24 |
| 1336773258 | Anna Trujillo-defronzo | Marriage & Family Therapist | 10655 Park Run Dr Ste 210, Las Vegas, NV 89144-4590 | 2020-02-29 |
| 1376173039 | Kristina Esposito | Marriage & Family Therapist | 10655 Park Run Dr Ste 210, Las Vegas, NV 89144-4590 | 2020-01-22 |
| 1386295764 | Allison Vigil | Marriage & Family Therapist | 10655 Park Run Dr Ste 210, Las Vegas, NV 89144-4590 | 2019-09-26 |
| 1316597685 | Jessica Jane Restuch | Marriage & Family Therapist | 10655 Park Run Dr Ste 210, Las Vegas, NV 89144-4590 | 2019-09-18 |
| 1336798362 | Alexander Lindamood | Behavioral Analyst | 10655 Park Run Dr Ste 210, Las Vegas, NV 89144-4590 | 2019-09-11 |
| 1831546779 | Karen Harden | Behavioral Analyst | 10655 Park Run Dr Ste 210, Las Vegas, NV 89144-4590 | 2016-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033609599 | Anila Naz | Technician | 1529 Waterton Drive, Las Vegas, NV 89144 | 2018-05-10 |
| 1467987487 | Judith L. Tan | Nurse Practitioner | Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 2017-04-27 |
| 1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
| 1619324662 | Sydney Spoon | Dietitian, Registered | 624 Canyon Greens Dr, Las Vegas, NV 89144 | 2016-05-19 |
| 1629455985 | Md24 Nv, Inc. | Nurse Practitioner | 1180 North Town Center Dr, Ste 100, Las Vegas, NV 89144 | 2015-05-06 |
| 1053652628 | Melvin Lackey Jr. | Behavioral Analyst | 10708 Esk Dr, Las Vegas, NV 89144 | 2013-03-07 |
| 1740445667 | Jaydee R. Lumbad | Family Medicine | 1111 N Town Center Drive, Las Vegas, NV 89144 | 2008-07-21 |
| 1700053824 | Samim Enayat | Internal Medicine | 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 | 2008-05-08 |
| 1629252457 | Edmund Reyes Goroza | Pediatrics | 10105 Banburry Cross Dr Ste 170, Las Vegas, NV 89144 | 2007-12-28 |
| 1730375262 | H.l.greenberg M.d., Ltd. | Clinic/Center | 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 | 2007-09-18 |
| Find all providers in zip 89144 | ||||
| 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.