Individual provider Active NPI

Melinda J Wiafe, LPC

  • Professional Counselor
  • Las Vegas, NV
National Provider Identifier
1083929228
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CP0081 Issued in NV
Practice address
5851 W Charleston Blvd
Las Vegas, NV 89146-1290
Phone
(702) 830-4029
Fax
(702) 250-2260
NPI assigned
Aug 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 06763-LCS NV
Addiction (Substance Use Disorder) Counselor 101YA0400X OK
Mental Health Counselor 101YM0800X OK
Mental Health Counselor 101YM0800X CPC0081 NV
Professional Counselor 101YP2500X CP0081 NV Primary

Addresses

Primary practice location

5851 W Charleston Blvd
Las Vegas, NV 89146-1290

Mailing address

3157 N Rainbow Blvd
#325
Las Vegas, NV 89108-4578
Phone (918) 850-5100

Other identifiers 1

IdentifierTypeStateIssuer
1083929228MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104004681 NV Practitioner - Mental Health Counselor 0244681104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Family Service AgencyGroup PAC ID 1456320142, 3 clinicians

Practice addresses (Care Compare)

5851 W Charleston Blvd
Las Vegas, NV 89146-1290
Phone (702) 732-0304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06763-LCSNVMDAddiction (Substance Use Disorder) Counselor
CPC0081NVMDMental Health Counselor
CP0081NVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service Agency CurrentSince Jan 1, 2024 Accepting new patients
Resonance Center for Women, Inc. Past Accepting new patients

Locations

5851 W Charleston Blvd
Las Vegas, NV 89146
Phone (702) 732-0304

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": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1083929228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 N RAINBOW BLVD",
            "address_2": "#325",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084578",
            "telephone_number": "918-850-5100",
            "fax_number": "866-757-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461290",
            "telephone_number": "702-830-4029",
            "fax_number": "702-250-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIAFE",
        "first_name": "MELINDA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2025-03-26",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "06763-LCS",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CPC0081",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP0081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083929228",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.