DESIREE C CANTORNA-IBARRA (NPI# 1679873780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679873780 |
| Entity Type | Individual |
| Full Name | DESIREE C CANTORNA-IBARRA |
| Other Name | DESIREE C CANTORNA |
| Credential | LCPC, CADC-I |
| Practice Address |
5812 Sutcliffe Cir Las Vegas NV 89110-3855 |
| Practice Telephone | 7027699211 |
| Mailing Telephone | 7027699211 |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2016-01-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
01194 | NV | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
CP0120 | NV | Behavioral Health & Social Service Providers |
| Street Address |
5812 SUTCLIFFE CIR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89110-3855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033583307 | Chelsey Corpuz | Rehabilitation Practitioner | 5812 Sutcliffe Cir, Las Vegas, NV 89110-3855 | 2015-11-23 |
| 1265817084 | Joshua Reese Manzano | Rehabilitation Practitioner | 5812 Sutcliffe Cir, Las Vegas, NV 89110-3855 | 2015-07-22 |
| 1790174415 | Ashley M. Bulosan | Psychologist | 5812 Sutcliffe Cir, Las Vegas, NV 89110-3855 | 2015-01-19 |
| 1689003659 | Mason Cantorna | Rehabilitation Practitioner | 5812 Sutcliffe Cir, Las Vegas, NV 89110-3855 | 2013-11-10 |
| 1972873586 | Pacific Behavioral Health Services | Counselor | 5812 Sutcliffe Cir, Las Vegas, NV 89110-3855 | 2012-01-12 |
| 1083906432 | Reelana Marie Corpuz | Counselor | 5812 Sutcliffe Cir, Las Vegas, NV 89110-3855 | 2011-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932740792 | Egalitarian Nevada LLC | Community/Behavioral Health | 241 North Nellis Boulevard, Suite 103, Las Vegas, NV 89110 | 2019-10-03 |
| 1730698333 | Antoinette Garrett | Rehabilitation Practitioner | 3085 S. Jones Boulevard Ste D., Las Vegas, NV 89110 | 2017-09-26 |
| 1063883486 | Chanfay Michelle Dabney | Adult Companion | 609 Sponseller, Las Vegas, NV 89110 | 2015-10-12 |
| 1689097735 | Lynda C Mccloskey | Registered Nurse | 330 South Valley View, Las Vegas, NV 89110 | 2014-01-27 |
| 1679994487 | Maria Arias De Lujan | Registered Nurse | 570 N Nellis Blvd Suite D1, Las Vegas, NV 89110 | 2013-12-20 |
| 1932520988 | Satoko Brilis | Registered Nurse | 570 N. Nellis Blvd., Suite D-1, Las Vegas, NV 89110 | 2013-12-18 |
| 1245651231 | Loriza Chongtai | Registered Nurse | 570 N.nellis Blvd Suite D1, Las Vegas, NV 89110 | 2013-12-18 |
| 1255752242 | Marites Navarro | Registered Nurse | 570 N. Nellis Blvd Suite D1, Las Vegas, NV 89110 | 2013-12-18 |
| 1770904781 | Karen M Atkins | Registered Nurse | 570 N. Nellis Blvd, Suite D1, Las Vegas, NV 89110 | 2013-12-17 |
| 1780020016 | Emma Jean Watson | Counselor | 3750 East Bonanza Rd Unit 155, Las Vegas, NV 89110 | 2013-05-14 |
| Find all providers in zip 89110 | ||||
| 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.