Active NPI
Charlotte Watley, MA
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1033455159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R-2666
- Practice address
- 5130 S Fort Apache Rd Ste 215-250
Las Vegas, NV 89148-1719 - Phone
- (702) 337-2743
- NPI assigned
- Dec 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | R-2666 | NV | Primary |
Addresses
Primary practice location
5130 S Fort Apache Rd Ste 215-250
Las Vegas, NV 89148-1719
Mailing address
5130 S Fort Apache Rd Ste 215-250
Las Vegas, NV 89148-1719
Phone (702) 337-2743
Other practice location 1
3127 E Warm Springs Rd Ste 300
Las Vegas, NV 89120-3134
Phone (702) 850-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-2666 | NV | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1033455159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5130 S FORT APACHE RD STE 215-250",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891481719",
"telephone_number": "702-337-2743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5130 S FORT APACHE RD STE 215-250",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891481719",
"telephone_number": "702-337-2743"
}
],
"practiceLocations": [
{
"address_1": "3127 E Warm Springs Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891203134",
"country_code": "US",
"telephone_number": "702-850-8700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATLEY",
"first_name": "CHARLOTTE",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-18",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "R-2666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.