Individual provider Active NPI

Engelbert Mittermayr, LPC, CRC, LCPC

  • Mental Health Counselor
  • Carson City, NV
National Provider Identifier
1093169229
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CI0373 Issued in NV
Practice address
1805 N Carson St Ste 45
Carson City, NV 89701-1216
Phone
(775) 741-4716
NPI assigned
Apr 13, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C8140 OR
Mental Health Counselor 101YM0800X CI0373 NV Primary

Addresses

Primary practice location

1805 N Carson St Ste 45
Carson City, NV 89701-1216

Mailing address

1805 N Carson St Ste 45
Carson City, NV 89701-1216
Phone (775) 775-4716

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
I20250116003731 NV Practitioner - Mental Health Counselor 6507394673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Arizona College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

8215 S Eastern Ave
Suite 109
Las Vegas, NV 89123-2515
Phone (775) 902-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CI0373NVMDMental Health Counselor
C8140ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Provider Network PA CurrentSince Mar 3, 2025 Accepting new patients
Mindful Therapy Group PC Mental Health CurrentSince Dec 10, 2024 Accepting new patients

Locations

8215 S Eastern Ave
Ste 109
Las Vegas, NV 89123
Phone (775) 902-8300

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

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": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1093169229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N CARSON ST STE 45",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897011216",
            "telephone_number": "775-775-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N CARSON ST STE 45",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897011216",
            "telephone_number": "775-741-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTERMAYR",
        "first_name": "ENGELBERT",
        "credential": "LPC, CRC, LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C8140",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CI0373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.