Individual provider Active NPI

Dawn C Wisbey

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1063192003
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C15312 Issued in NV
Practice address
7040 Laredo St Ste K
Las Vegas, NV 89117-3044
Phone
(702) 331-4874
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C15312 NV Primary

Addresses

Primary practice location

7040 Laredo St Ste K
Las Vegas, NV 89117-3044

Mailing address

2922 Soft Horizon Way
Las Vegas, NV 89135-1738
Phone (508) 335-0353

Other identifiers 1

IdentifierTypeStateIssuer
C15312OtherNVSTATE CPC INTERN LICENSE

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

State licenses

LicenseStateTypeSpecialty
C15312NVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Claudia Barraza Past Accepting new patients
Elements of Motivation LLC PastSince Sep 18, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1063192003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 SOFT HORIZON WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351738",
            "telephone_number": "508-335-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 LAREDO ST STE K",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173044",
            "telephone_number": "702-331-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISBEY",
        "first_name": "DAWN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "C15312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CPC INTERN LICENSE",
            "identifier": "C15312",
            "state": "NV"
        }
    ],
    "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 Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.