Lynette Stewart, C.A.D.C

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

00309-C Issued in NV

Practice address

2 Idaho Way
Henderson, NV 89015-7209

Phone

(702) 565-6060

Fax

(702) 565-6097

NPI assigned

May 21, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lynette Hallesy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Henderson Substance Abuse Treatment Center

  • Addiction (Substance Use Disorder) Counselor
  • Henderson, NV
  • NPI 1053688283
  NPD (past) Authorized official

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1326450677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 IDAHO WAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157209",
            "telephone_number": "702-565-6060",
            "fax_number": "702-565-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 IDAHO WAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157209",
            "telephone_number": "702-565-6060",
            "fax_number": "702-565-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "LYNETTE",
        "credential": "C.A.D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00309-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNETTE",
            "last_name": "HALLESY",
            "credential": "C.A.D.C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darius Allen Stewart
• Diane Stewart
• Douglas M Stewart, DPT
• Erica Stewart
• Lanise Stewart
• Misty L Stewart, RRT
• Paula Kay Stewart
• Quin Michelle-Ciambrone Stewart
• John Stiles
• Randall James Stiles, PH.D.

• Addiction (Substance Use Disorder) Counselor in Henderson, NV
• Providers in Henderson, NV by specialty
• Addiction (Substance Use Disorder) Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.