Provider Demographics
NPI:1326337650
Name:JELAVIC, IVANA (LIMHP, LPCC, LCPC)
Entity Type:Individual
Prefix:MS
First Name:IVANA
Middle Name:
Last Name:JELAVIC
Suffix:
Gender:F
Credentials:LIMHP, LPCC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8800 W SUNSET RD STE 200
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-4897
Mailing Address - Country:US
Mailing Address - Phone:702-805-5360
Mailing Address - Fax:702-805-5360
Practice Address - Street 1:8880 W SUNSET RD STE 200
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5014
Practice Address - Country:US
Practice Address - Phone:702-805-5360
Practice Address - Fax:702-805-5360
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1355101YM0800X
CA7716101YM0800X
NVCP5132-R101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE96079OtherBLUE CROSS BLUE SHIELD
NE345680000OtherMAGELLAN
NE10026038300Medicaid
NE47075636998Medicaid
NE10025734000Medicaid
NE47075636930Medicaid
NE098935Medicare UPIN