Magnolia Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MAGNOLIA COUNSELING LLC

Practice address

871 Coronado Center Dr Ste 200
Henderson, NV 89052-3977

Phone

(702) 475-9751

NPI assigned

May 18, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Tammy Shield-Rice, LCSWNPI 1952763211

Title

Owner

Phone

(702) 704-5615

Specialties & licenses 2

Addresses

Other names 1

• Magnolia Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tammy Shield-Rice, LCSW

  • Clinical Social Worker
  • Henderson, NV
  • NPI 1952763211
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1558137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1730745381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 NEW RIVER CIR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522367",
            "telephone_number": "702-704-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 CORONADO CENTER DR STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523977",
            "telephone_number": "702-475-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-18",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "SHIELD-RICE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-704-5615",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucky Dave Magarin
• Karina Rae Magdangal, MS, CF-SLP
• Erin Lindsay Magee, OTR/L
• Wanda Magee
• Sabrina Lynn Maglalang, M.S. CCC-SLP
• Mahender K Gaba, a Professional Corporation
• Devendranath Mahender Nath, R.PH.
• Ajeet Mahendernath, MD
• Mahendra Defonseka, MD, CHTD
• Mahgerefteh Medical PLLC

• Community/Behavioral Health Agency in Henderson, NV
• Providers in Henderson, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.