STACEY GRAY (NPI# 1891194585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891194585 |
| Entity Type | Individual |
| Full Name | STACEY GRAY |
| Credential | CPC INTERN |
| Practice Address |
1701 W Charleston Blvd Ste 300 Las Vegas NV 89102-2325 |
| Mailing Address |
9140 W Post Rd Ste 100 Las Vegas NV 89148-2435 |
| Practice Telephone | 7022518000 |
| Mailing Telephone | 7024052210 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CI0118 | NV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | STATE LICENSE | CI0118 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093977746 | Stacey Elizabeth Gray | Massage Therapist | 725 Se Main St, Suite B, Roseburg, OR 97470-3938 | 2008-06-25 |
| 1952811424 | Stacey Elaine Gray | Licensed Practical Nurse | 815 W 5th North St, Morristown, TN 37814-3810 | 2017-10-10 |
| 1659673572 | Stacey Gray | Counselor | 21770 Fdr Blvd, Lexington Park, MD 20653-1558 | 2010-11-29 |
| 1912220583 | Stacey Ellen Gray | Social Worker | 718 Garden Plz, Orlando, FL 32803-4212 | 2010-03-10 |
| 1407835929 | Stacey Tutt Gray | Otolaryngology | 243 Charles St, Boston, MA 02114-3002 | 2006-01-12 |
| Street Address |
1701 W CHARLESTON BLVD STE 300 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184601239 | University of Nv School of Medicine Multi Specialty Group Practice So | Pediatrics | 1701 W Charleston Blvd, #110, Las Vegas, NV 89102-2325 | 2005-12-29 |
| 1285193375 | Robert M Mercer | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd, Las Vegas, NV 89102-2325 | 2019-03-18 |
| 1407343155 | Hui Feng | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd, Las Vegas, NV 89102-2325 | 2018-04-18 |
| 1497250658 | Matthew Scott Carrea | General Practice | 1701 W Charleston Blvd, Las Vegas, NV 89102-2325 | 2018-03-28 |
| 1558897884 | Mjd, LLC | Dentist | 1701 W Charleston Blvd, 520, Las Vegas, NV 89102-2325 | 2017-05-05 |
| 1902332398 | Mariam Al-hamad | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd, #400, Las Vegas, NV 89102-2325 | 2017-05-04 |
| 1942735808 | Tyler Paul Heeren | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd, Suite 230, Las Vegas, NV 89102-2325 | 2017-04-27 |
| 1649704172 | Christian Nicholas Chan | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd, #400, Las Vegas, NV 89102-2325 | 2017-04-11 |
| 1164955993 | Manvinder Singh Kumar | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd, #490, Las Vegas, NV 89102-2325 | 2017-04-08 |
| 1376076232 | Katherine Rief | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd, #230, Las Vegas, NV 89102-2325 | 2017-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971414 | Oluwakemi Temitayo Obajuwonlo | Counselor | 4442 Avery Park Ave, Las Vegas, NV 89110-5488 | 2020-10-29 |
| 1275132862 | Keep Safe Wellcare Center, LLC | Counselor | 1912 Goodwill St, Apt D, Las Vegas, NV 89106-1232 | 2020-10-23 |
| 1568060796 | Rolly Taguinod Quilang | Counselor | 5346 Tipper Ave, Las Vegas, NV 89122-6966 | 2020-10-09 |
| 1255948519 | Jaafah Rashad Coppedge | Counselor | 4400 S Jones Blvd Unit 1028, Las Vegas, NV 89103-3337 | 2020-09-30 |
| 1457968570 | Deborah Ilakay Walker | Counselor | 764 E Twain Ave Apt 5b, Las Vegas, NV 89169-4125 | 2020-09-24 |
| 1912513359 | Parisa Karen Kabiri | Counselor | 6767 W Tropicana Ave #100, Las Vegas, NV 89103-8910 | 2020-09-21 |
| 1861007932 | Camry A Howard | Counselor | 3200 Arville St Apt 146, Las Vegas, NV 89102-7648 | 2020-09-14 |
| 1992319099 | Kayli Wrenn | Counselor | 7788 Peaceful Trellis Dr, Las Vegas, NV 89179-2031 | 2020-09-04 |
| 1932712809 | Williams Consultation | Counselor | 3811 W Charleston Blvd Ste 106, Las Vegas, NV 89102-1846 | 2020-08-28 |
| 1386255321 | Evolve and Heal Wellness Center | Counselor | 1024 W Owens Ave Ste 113, Las Vegas, NV 89106-2520 | 2020-08-13 |
| 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.