Melissa Dale Wadsworth, LMFTI

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

M10548 Issued in NV

Practice address

3529 Dover Bay St
Las Vegas, NV 89129-2131

Phone

(702) 485-9917

NPI assigned

Mar 22, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Marriage and Family Therapist

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Resting Minds LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1154995082
  NPD Authorized official
• Whole Health Counseling LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1407351356
  NPD Authorized official
• Cortex Care LLC

  • In Home Supportive Care Agency
  • Las Vegas, NV
  • NPI 1588462055
  NPD

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1194024752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 DOVER BAY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891292131",
            "telephone_number": "702-485-9917",
            "fax_number": "702-982-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3529 DOVER BAY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891292131",
            "telephone_number": "702-485-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADSWORTH",
        "first_name": "MELISSA",
        "middle_name": "DALE",
        "name_prefix": "Mrs.",
        "credential": "LMFTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "M10548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194024752",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moin Wadi
• Joseph Peter Wadoski, O.D.
• Adelbert Scott Wadsworth, PA-C
• Kristina Wadsworth
• Lynn Wadsworth
• Katie Rose Waechter
• Wael Eid MD PC
• Danielle Lee Wafer
• Augustine John Wagasky
• Carolyn Wagasky

• Marriage & Family Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.