| Harmony Healthcare | |
|
1701 W Charleston Blvd Suite 300 Las Vegas NV 89102-2325 | |
| (702) 251-8000 | |
| (702) 380-6925 |
| Full Name | Harmony Healthcare |
|---|---|
| Speciality | Counselor |
| Location | 1701 W Charleston Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Allen Flagg (VP OF WESTERN DIVISION) |
| Authorized Official Contact | 7022518000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harmony Healthcare 1701 W Charleston Blvd Suite 300 Las Vegas NV 89102-2325 Ph: (702) 251-8000 | Harmony Healthcare 1701 W Charleston Blvd Suite 300 Las Vegas NV 89102-2325 Ph: (702) 251-8000 |
| NPI Number | 1326187782 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4789766502 |
|---|---|
| Medicare Enrollment ID | O20160713000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326187782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6928 (Nevada) | Primary |
| Provider Name | Brent M Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093763187 PECOS PAC ID: 6204861271 Enrollment ID: I20050928000742 |
| Provider Name | Adekunle O Ajayi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255368486 PECOS PAC ID: 9032216700 Enrollment ID: I20070515000434 |
| Provider Name | Jonathan G Still |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467507178 PECOS PAC ID: 5799000717 Enrollment ID: I20150216001647 |
| Provider Name | Glaucia Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083954440 PECOS PAC ID: 9436398732 Enrollment ID: I20160906000432 |
| Provider Name | Tish Diskin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699984393 PECOS PAC ID: 0446547996 Enrollment ID: I20160927000923 |
| Provider Name | Angelina Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013291889 PECOS PAC ID: 8527355072 Enrollment ID: I20160927000954 |
| Provider Name | Stephanie Tolstoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518347475 PECOS PAC ID: 6709173149 Enrollment ID: I20160928001282 |
| Provider Name | Anthony Quinn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558621151 PECOS PAC ID: 0547489619 Enrollment ID: I20161004001866 |
| Provider Name | Shirley Howell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437165099 PECOS PAC ID: 0648342360 Enrollment ID: I20161004002280 |
| Provider Name | Paul Kane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811105448 PECOS PAC ID: 8022306075 Enrollment ID: I20161007000523 |
| Provider Name | Erin L Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568907012 PECOS PAC ID: 5092099929 Enrollment ID: I20170221001612 |
| Provider Name | Shelby Schiller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326566969 PECOS PAC ID: 3779845128 Enrollment ID: I20180322001350 |
| Provider Name | Ricardo Manuel Romero-andrade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235639832 PECOS PAC ID: 8628331642 Enrollment ID: I20180404001309 |
| Provider Name | Brandon Kukor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528473980 PECOS PAC ID: 8628373396 Enrollment ID: I20180704000035 |
| Provider Name | Robin L Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366987711 PECOS PAC ID: 4880945526 Enrollment ID: I20180919003647 |
| Provider Name | Robin Mckinney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114404092 PECOS PAC ID: 1759701451 Enrollment ID: I20201019002649 |
| Provider Name | Fantanesh Angaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326474289 PECOS PAC ID: 5991125577 Enrollment ID: I20201020003655 |
| Provider Name | Michelle Sernas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609228386 PECOS PAC ID: 4284054883 Enrollment ID: I20201021000458 |
| Provider Name | Jessica L Burton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184107906 PECOS PAC ID: 5496175903 Enrollment ID: I20201022002543 |
| Provider Name | Ashley Dawn Blake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558773291 PECOS PAC ID: 4587084991 Enrollment ID: I20201022003098 |
| Provider Name | Danny D Duvall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518519818 PECOS PAC ID: 0941620397 Enrollment ID: I20201023001199 |
| Provider Name | Jamie Jo Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669100012 PECOS PAC ID: 9830573385 Enrollment ID: I20220831003723 |
| Provider Name | Nicolette Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407438187 PECOS PAC ID: 1153790647 Enrollment ID: I20221205002146 |
| Provider Name | Sara Martinez Bueno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396453742 PECOS PAC ID: 6103295696 Enrollment ID: I20221205002322 |
| Provider Name | Adrienne M Lapid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477258010 PECOS PAC ID: 2860854783 Enrollment ID: I20230809002685 |
| Provider Name | Sarynn Rosemarie Pentland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760749402 PECOS PAC ID: 3274980263 Enrollment ID: I20231113003291 |
| Provider Name | Kalena Kimberly Wainwright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447024310 PECOS PAC ID: 3577902915 Enrollment ID: I20240417002878 |
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