Antwanette Grant, QBA

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1550 W Horizon Ridge Pkwy # R579
Henderson, NV 89012-3600

Phone

(760) 596-5999

NPI assigned

Apr 5, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smart Start Independent Living LLC

  • Mental Health Counselor
  • Henderson, NV
  • NPI 1902485113
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1073192290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 W HORIZON RIDGE PKWY # R579",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123600",
            "telephone_number": "760-596-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 W HORIZON RIDGE PKWY # R579",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123600",
            "telephone_number": "760-596-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "ANTWANETTE",
        "credential": "QBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.therapynotes.com/features/",
            "affiliation": "Y",
            "endpointDescription": "EHR",
            "affiliationName": "smart start independent living llc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1550 W Horizon Ridge Pkwy # R579",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890123600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dennis Grandez Zavala
• Jordan M Grange
• Granillo Speech Pathology, PLLC (Speech Patherapy)
• Kelli Lynn Granillo, M.S. CCC/SLP
• Andrew Grant
• Brenton John Grant, MPT BHSC
• Christina Epiphany Grant, RBT
• Claudette Grant
• Douglas E Grant, PH.D.
• Emma Renee Grant, RBT

• Counselor in Henderson, NV
• Providers in Henderson, NV by specialty
• Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.