SHINE BRIGHT BEHAVIORAL HEALTH, L.L.C. (NPI# 1639764541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639764541 |
| Entity Type | Organization |
| Organization Name | SHINE BRIGHT BEHAVIORAL HEALTH, L.L.C. |
| Practice Address | 5020 Alta Dr Ste D Las Vegas NV 89107-3940 |
| Practice Telephone | 7254001888 |
| Mailing Address | 800 N Rainbow Blvd Ste 130 Las Vegas NV 89107-1190 |
| Mailing Telephone | 7023746792 |
| Certification Date | 2021-03-02 |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2021-03-02 |
| Authorized Official Telephone | 7254001888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X | Counselor Specialization: Mental Health | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | ||
| N | 101YP2500X | Counselor Specialization: Professional | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X | Social Worker Specialization: Clinical | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers |
| Street Address | 5020 ALTA DR STE D |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89107-3940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457944514 | Ana M Jara | Home Health Aide | 5020 Alta Dr, Las Vegas, NV 89107-3940 | 2021-02-18 |
| 1275123267 | Vanesa Araceli Cortez | Technician · Personal Care Attendant | 5020 Alta Dr, Las Vegas, NV 89107-3940 | 2021-01-22 |
| 1841880325 | Sarah Elizabeth Stephenson | Home Health Aide | 5020 Alta Dr, Las Vegas, NV 89107-3940 | 2021-01-19 |
| 1265033377 | Giuseppe Giovanni Lomagno | Technician · Personal Care Attendant | 5020 Alta Dr, Las Vegas, NV 89107-3940 | 2020-11-04 |
| 1780282707 | James Smith | Technician · Personal Care Attendant | 5020 Alta Dr, Las Vegas, NV 89107-3940 | 2020-10-12 |
| 1710594411 | Marina Alvarado | Technician · Personal Care Attendant | 5020 Alta Dr Ste B, Las Vegas, NV 89107-3940 | 2020-09-26 |
| 1538780937 | Beatriz Roman | Technician · Personal Care Attendant | 5020 Alta Dr Ste B, Las Vegas, NV 89107-3940 | 2020-04-27 |
| 1386273183 | Aaron James Rodgers I | Technician · Personal Care Attendant | 5020 Alta Dr Ste B, Las Vegas, NV 89107-3940 | 2020-04-03 |
| 1801422647 | Bennie Harris | Technician · Personal Care Attendant | 5020 Alta Dr Ste B, Las Vegas, NV 89107-3940 | 2020-03-12 |
| 1851926943 | Maria Reyes | Technician · Personal Care Attendant | 5020 Alta Dr Ste B, Las Vegas, NV 89107-3940 | 2020-03-09 |
| Find all providers in zip 89107-3940 | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023605243 | Kenisha Lynn Grate | Technician · Personal Care Attendant | Loves Home Health Care LLC, 500 N Rainbow Blvd Suite 300, Las Vegas, NV 89107 | 2020-12-22 |
| 1639765282 | Jasmine N. Balen | Physical Therapist | 633 N. Decatur Blvd, Ste E, Las Vegas, NV 89107 | 2020-12-17 |
| 1952905648 | Martha Karina Horta | Technician · Personal Care Attendant | 5020 Alta Dr. Suit-B, Las Vegas, NV 89107 | 2020-11-24 |
| 1902404379 | Rosa Linda Vidal Sarmiento · Rosa Linda Vidal Sarmiento | Technician · Personal Care Attendant | 5020 Alta Dr Suit-B, Las Vegas, NV 89107 | 2020-10-16 |
| 1124631148 | Latierra Roshonda Bennett | Technician · Personal Care Attendant | 500 N Rainbow Blvd Ste 300 Ideal Staffing Inc, Las Vegas, NV 89107 | 2020-08-28 |
| 1285244186 | Sarai Lazarte-Monttedoro | Technician · Personal Care Attendant | 525 S Decatur Blvd, Las Vegas, NV 89107 | 2020-08-05 |
| 1942837620 | Dominica Marie Lemay · Nica Marie Lamay | Technician · Personal Care Attendant | Ideal Staffing Inc 500 N Rainbow Blvd Ste 300 Las Vegas, Las Vegas, NV 89107 | 2020-03-24 |
| 1841826609 | Martha Horta | Technician · Personal Care Attendant | 5020 Alta Dr Suit-B, Las Vegas, NV 89107 | 2020-03-12 |
| 1417589854 | Ciro Zuniga | Technician · Personal Care Attendant | 5020 Alta Dr Suit-B, Las Vegas, NV 89107 | 2020-02-04 |
| 1730729252 | Natalie Rochelle Ross | Technician · Personal Care Attendant | Ideal Staffing Inc N Rainbow Blvd Ste 300 Las Vegas, Nv, Las Vegas, NV 89107 | 2020-01-13 |
| Find all providers in zip 89107 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811581564 | Nicholas Angelone | 9488 W Flamingo Rd Ste 102, Las Vegas, NV 89147-5717 | 2021-02-23 | |
| 1073106696 | Clint Albright · Clint Albright | 7310 Smoke Ranch Rd, Las Vegas, NV 89128-0258 | 2021-02-15 | |
| 1730772492 | Insight Counseling & Wellness, LLC | 12232 Sea Voyage Ave, Las Vegas, NV 89138-4606 | 2021-02-14 | |
| 1790376028 | Lili K Equihua | 10655 Park Run Dr Ste 210, Las Vegas, NV 89144-4590 | 2021-01-29 | |
| 1033707575 | Christina Louise Salmon | 3320 N Buffalo Dr Ste 203, Las Vegas, NV 89129-7411 | 2021-01-08 | |
| 1386232452 | Patricia E Greenfield · Patricia E Greenfield | 7310 Smoke Ranch Rd St. S, Las Vegas, NV 89128 | 2021-01-05 | |
| 1881282291 | Evelyne Alonso | 2920 S Jones Blvd Ste 225, Las Vegas, NV 89146-5622 | 2021-01-02 | |
| 1023605433 | Amanda Leticia Acuna | 9488 W Flamingo Rd Ste 102, Las Vegas, NV 89147-5717 | 2020-12-31 | |
| 1811584345 | Andrea Dalziell | 9488 W Flamingo Rd Ste 102, Las Vegas, NV 89147-5717 | 2020-12-30 | |
| 1457948200 | Tonja Vallin | 9402 W Lake Mead Blvd, Las Vegas, NV 89134-8312 | 2020-12-28 | |
| Find all providers in LAS VEGAS | ||||
| City | LAS VEGAS |
| Zip Code | 89107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710101084 | Anka Behavioral Health Incorporated · Bright House | Substance Abuse Rehabilitation Facility · Substance Abuse Treatment, Children | 8210 S Bright Rd, French Camp, CA 95231 | 2007-04-11 |
| 1255969713 | Shine Behavioral Health, LLC | Nurse Practitioner · Psychiatric/Mental Health | 539 Benfield Rd Ste 2, Severna Park, MD 21146-2511 | 2020-03-31 |
| 1770023905 | Shine Bright Therapy | Early Intervention Provider Agency | 3911 Sw 67th Ave, Miami, FL 33155-3710 | 2017-03-07 |
| 1003187873 | Shine Bright Therapy | Early Intervention Provider Agency | 3911 Sw 67th Ave, Miami, FL 33155-3710 | 2012-01-25 |
| 1497271910 | Shine Bright Dentistry | Clinic/Center · Dental | 3212 Harwood Rd, Bedford, TX 76021 | 2017-08-16 |
| 1609311430 | Shine Bright Care, LLC | Home Health | 6407 Brayton Dr Ste 100, Anchorage, AK 99507-2149 | 2017-01-03 |
| 1063043644 | Shine Bright Network LLC | Counselor · Mental Health | 27076 Cypress St, Highland, CA 92346-3662 | 2020-01-31 |
| 1376101659 | Shine Bright Family Services | Counselor | 3348 Peachtree Rd Ne, Atlanta, GA 30326 | 2019-06-03 |
| 1639521214 | Shine Bright Care | Home Health | 3007 Arctic Blvd Spc 2, Anchorage, AK 99503-3478 | 2016-07-07 |
| 1497196174 | Bright Behavioral Health LLC | Community/Behavioral Health | 4880 W University Ave Ste B5, Las Vegas, NV 89103-3830 | 2013-07-10 |
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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.