OMAR MEWBORN (NPI# 1821450982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821450982 |
| Entity Type | Individual |
| Full Name | OMAR MEWBORN |
| Practice Address |
1280 Terminal Way Suite 3 Reno NV 89502-3219 |
| Practice Telephone | 7755752284 |
| Mailing Telephone | 7755752284 |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2016-03-27 |
| 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 |
1280 TERMINAL WAY SUITE 3 |
| City | RENO |
| State | NV |
| Zip Code | 89502-3219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558782375 | Conrad Kumbella Tanyi | Community Health Worker | 1280 Terminal Way, Ste #5, Reno, NV 89502-3219 | 2013-12-20 |
| 1255792958 | Samantha Duxbury | Counselor | 1280 Terminal Way, Suite 3, Reno, NV 89502-3219 | 2016-03-09 |
| 1215392196 | Crossroads Counseling Center, LLC | Community/Behavioral Health | 1280 Terminal Way, Suite 3, Reno, NV 89502-3219 | 2015-12-21 |
| 1942686449 | David Gordon Reid | Marriage & Family Therapist | 1280 Terminal Way, Reno, NV 89502 | 2015-08-06 |
| 1114309739 | Dorothy Deines | Counselor | 1280 Terminal Way, 3, Reno, NV 89502-3219 | 2015-06-19 |
| 1548641004 | Raeven Blackman-shipp | Case Manager/Care Coordinator | 1280 Terminal Way, Suite 3, Reno, NV 89502-3219 | 2015-06-10 |
| 1013397512 | Tawna Fayette | Counselor | 1280 Terminal Way, Suite 3, Reno, NV 89502 | 2015-06-01 |
| 1588043418 | Doris Blackburn | Counselor | 1280 Terminal Way, Suite 3, Reno, NV 89502-3219 | 2015-05-26 |
| 1962881292 | Elizabeth Holt | Counselor | 1280 Terminal Way, Reno, NV 89502-3219 | 2015-05-19 |
| 1477931327 | Carli Sanchez | Counselor | 1280 Terminal Way, Sutie 3, Reno, NV 89502-3219 | 2015-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557430 | Tamara Listinsky | Counselor | 4398 Dunkeld Rd, Reno, NV 89519-0947 | 2020-10-28 |
| 1295359636 | Shelby Vandermeer | Counselor | 1910 Valley Rd, Reno, NV 89512-1504 | 2020-06-02 |
| 1750921185 | Madison Burris | Counselor | 5941 Sapphire Ridge Ct, Reno, NV 89523-6218 | 2020-01-14 |
| 1528613577 | Donna Jean Dicarlo | Counselor | 9364 Holiday Ct, Reno, NV 89506-9620 | 2019-08-06 |
| 1821561549 | Marcus Nesbitt | Counselor | 3030 Roxbury Dr, Reno, NV 89523-6201 | 2019-01-04 |
| 1629560875 | Amanda Jo Boe | Counselor | 421 W Plumb Ln Ste 1, Reno, NV 89509-3766 | 2018-06-04 |
| 1396234357 | Gracia Bazenga Biselele | Counselor | 3295 Pierremont Rd, Reno, NV 89503-1936 | 2018-05-05 |
| 1740798545 | Jaquan Danevans Dupree | Counselor | 9065 Alsandair Ct, Reno, NV 89506-5953 | 2018-01-14 |
| 1255841417 | Steven Phillip Ing | Counselor | 3500 Lakeside Ct Ste 130, Reno, NV 89509-4865 | 2017-10-02 |
| 1598284028 | Agape of Nevada L.l.c | Counselor | 4524 China Rose Cir, Reno, NV 89502-7740 | 2017-09-15 |
| Find all providers in RENO | ||||
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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.