Individual ProviderRoseann JaimeCounselorBehavioral Health & Social Service ProvidersPractice Address2921 N Tenaya Way, Las Vegas, NV 89128-1409(775) 501-8655PECOS EnrollmentBased on the most recent information from CMS, provider Roseann Jaime does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1548703747Provider TypeIndividualFull NameJaime, RoseannGenderFemaleSole ProprietorNoEnumeration Date11/21/2016Last Updated7/27/2021Contact InformationPractice LocationPractice Address2921 N Tenaya Way, Las Vegas, NV 89128-1409Phone(775) 501-8655FaxUnlisted FaxMailing LocationMailing Address2921 N Tenaya Way, Las Vegas, NV 89128-1409Phone(775) 501-8655FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1548703747DescriptionMedicaidIssuerUnlistedNevada