Active NPI
Mended Wing Therapy
- Marriage & Family Therapist
- Reno, NV
National Provider Identifier
1235998279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- MENDED WING THERAPY
- Practice address
- 1005 Forest St
Reno, NV 89509-2706 - Phone
- (775) 233-6789
- NPI assigned
- Mar 13, 2024
- Organization subpart
- Yes
- Parent organization
- DELACRUZ WELLNESS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Leslie Lee Delacruz, LMFT
- Title
- Owner
- Phone
- (775) 233-6789
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
1005 Forest St
Reno, NV 89509-2706
Mailing address
9721 Oakley LN
Reno, NV 89521-6160
Phone (775) 233-6789
Other practice location 1
1735 Vassar St
Reno, NV 89502-2720
Phone (775) 329-4150
Other practice location 2
1735 Vassar St
Reno, NV 89502-2720
Phone (775) 233-6789
Other names 2
- Delacruz Wellness
- Transcend Therapy Reno
National Provider Directory
National Provider Directory- Part of
- Mended Wing Therapy
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Reno, NV
- NPI 1730431008
-
- Marriage & Family Therapist
- Reno, NV
- NPI 1639903024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712275200000",
"number": "1235998279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9721 OAKLEY LN",
"city": "RENO",
"state": "NV",
"postal_code": "895216160",
"telephone_number": "775-233-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 FOREST ST",
"city": "RENO",
"state": "NV",
"postal_code": "895092706",
"telephone_number": "775-233-6789"
}
],
"practiceLocations": [
{
"address_1": "1735 Vassar St",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895022720",
"country_code": "US",
"telephone_number": "775-329-4150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1735 Vassar St",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895022720",
"country_code": "US",
"telephone_number": "775-233-6789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MENDED WING THERAPY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DELACRUZ WELLNESS",
"enumeration_date": "2024-03-13",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A",
"authorized_official_last_name": "DELACRUZ",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "775-233-6789",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Delacruz Wellness",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Transcend Therapy Reno",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.