La Toya Wilkerson, CPC-INTERN

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CI5257 Issued in NV

Practice address

30 Via Mantova
Henderson, NV 89011-2264

Phone

(702) 710-6994

NPI assigned

Jun 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Serenity Mind Spa PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Henderson, NV
  • NPI 1669352886
  NPD Authorized official

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696723200000",
    "number": "1134531650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 VIA MANTOVA UNIT 302",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890112267",
            "telephone_number": "702-328-1696",
            "fax_number": "702-360-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 VIA MANTOVA",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890112264",
            "telephone_number": "702-710-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "LA TOYA",
        "credential": "CPC-INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2023-10-08",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CI5257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerrile Wilcox
• Denise Lynn Wilcoxon
• Amber N Wilder, LCPC, LAC
• Katie Wilder
• Trenia Renee Wilder
• Elestren Maqinze Wilkinson
• Najeebah Willbon
• Ashley Nicole Willetts, BSN, APRN, PMHNP-BC
• Stephen Troy Willhoite, PHARMD
• William Rosenberg MD LLC (Silver State Sports Medicine)

• Professional Counselor in Henderson, NV
• Providers in Henderson, NV by specialty
• Professional Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.