Individual provider Active NPI

Jared James Schwab, MS

  • Professional Counselor
  • Rawlins, WY
National Provider Identifier
1386757714
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CP1265-R Issued in NV
Practice address
721 W Maple St
Rawlins, WY 82301-5447
Phone
(307) 324-7156
NPI assigned
Aug 17, 2006
Last updated
May 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CP1265-R NV Primary

Addresses

Primary practice location

721 W Maple St
Rawlins, WY 82301-5447

Mailing address

2219 N Rancho Dr RM U2225
Las Vegas, NV 89130-3317
Phone (702) 934-0225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240920000810 NV Practitioner - Mental Health Counselor 1153869268 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CP1265-RNVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa a Durette MD PLLC CurrentSince Aug 1, 2024 Accepting new patients
Lisa a Durette MD PLLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

526 S Tonopah Dr
Ste 200
Las Vegas, NV 89106
Phone (702) 440-8430

552 E Charleston Blvd
Las Vegas, NV 89104
Phone (702) 440-8440

6600 W Charleston Blvd
Ste 140
Las Vegas, NV 89146
Phone (702) 440-8440

6600 W Charleston Blvd
Ste 140160
Las Vegas, NV 89146

840 S Rancho Dr
#4337
Las Vegas, NV 89106

840 S Rancho Dr
Ste 4337
Las Vegas, NV 89106

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1386757714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 N RANCHO DR RM U2225",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303317",
            "telephone_number": "702-934-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W MAPLE ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015447",
            "telephone_number": "307-324-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAB",
        "first_name": "JARED",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP1265-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rawlins, WY

Sources for this page

Verify at the official NPI Registry.